BE WELL PROVIDERS LLC NPI 1568971950

NPI Information

BE WELL PROVIDERS, LLC is an adult mental health clinic center in Louisville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BE WELL PROVIDERS, LLC NPI is 1568971950. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Louisville Ocd Clinic.

The provider's business location address is:

11824 RANSUM DR STE 100
LOUISVILLE, KY
ZIP 40243-802
Phone: (502) 338-0608
Fax: (502) 245-1888

The provider's authorized official is Justin Brent Wallen .
The authorized official title is Business Manager and has the following contact phone number (502) 319-3105.

The CLIA number assigned to this NPI record is 18D2175587 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 5/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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