Healthcare Provider Details

I. General information

NPI: 1649184417
Provider Name (Legal Business Name): 2BE WELL THERAPY AND MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 BON AIR DR N
JACKSONVILLE FL
32218-5782
US

IV. Provider business mailing address

PO BOX 477
JACKSONVILLE FL
32201-0477
US

V. Phone/Fax

Practice location:
  • Phone: 813-320-3899
  • Fax:
Mailing address:
  • Phone: 813-320-3899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRITTANY ELLIS
Title or Position: OWNER
Credential: LMHC
Phone: 813-320-3899