MEDICARE: WELL BEING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC0002976	PA

General Provider Information

NPI Number	:	1730311747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL BEING LLC

Provider Business Mailing Address
First Line	:	3045 W LIBERTY AVE
Second Line	:	SUITE 9
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-2467
Country	:	US
Telephone Number	:	412-805-1561
Fax Number	:

Provider Business Practice Location Address
First Line	:	3045 W LIBERTY AVE
Second Line	:	SUITE 9
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-2467
Country	:	US
Telephone Number	:	412-805-1561
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. KIMBERLY KUNKEL
Credential	:	M.ED., L.P.C.
Telephone Number	:	412-805-1561

Provider Enumeration Date	:	08/10/2009
Last Update Date	:	08/10/2009

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Directions to “WELL BEING LLC ” Practice Location

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