Healthcare Provider Details

I. General information

NPI: 1538956487
Provider Name (Legal Business Name): BE WELL COMMUNITY URGENT CARE & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WASHINGTON LN STE 6A2
WYNCOTE PA
19095-1426
US

IV. Provider business mailing address

25 WASHINGTON LN STE 6A2
WYNCOTE PA
19095-1426
US

V. Phone/Fax

Practice location:
  • Phone: 267-414-3449
  • Fax: 773-632-0572
Mailing address:
  • Phone: 267-414-3449
  • Fax: 773-632-0572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LAURN VALENTINE
Title or Position: SUPERVISING MANAGER
Credential:
Phone: 619-433-2573