Healthcare Provider Details

I. General information

NPI: 1093353864
Provider Name (Legal Business Name): BEE WELL PSYCHIATRIC ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2019
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 W 107TH ST STE 10
OVERLAND PARK KS
66212-1921
US

IV. Provider business mailing address

15106 W 83RD ST
LENEXA KS
66219-1522
US

V. Phone/Fax

Practice location:
  • Phone: 816-682-8559
  • Fax:
Mailing address:
  • Phone: 913-548-3734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROOPA MOKHA
Title or Position: NP PSYCH - DIRECTOR
Credential: NP PSYCH
Phone: 913-548-3734