Healthcare Provider Details

I. General information

NPI: 1255159307
Provider Name (Legal Business Name): BE ALRIGHT WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10294 W SOLVITA WAY
ELK GROVE CA
95757-5161
US

IV. Provider business mailing address

10294 W SOLVITA WAY
ELK GROVE CA
95757-5161
US

V. Phone/Fax

Practice location:
  • Phone: 440-796-6829
  • Fax:
Mailing address:
  • Phone: 440-796-6829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BULGIN
Title or Position: CEO
Credential: LPCC
Phone: 440-796-6829