MEDICARE: BE-WELL FAMILY CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1568397156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE-WELL FAMILY CLINIC LLC

Provider Business Mailing Address
First Line	:	5310 PARADISE COVE LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-8158
Country	:	US
Telephone Number	:	346-848-6832
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 PARADISE COVE LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-8158
Country	:	US
Telephone Number	:	346-848-6832
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BOLA FOLANA
Credential	:	NP
Telephone Number	:	346-848-6832

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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