Healthcare Provider Details

I. General information

NPI: 1821824830
Provider Name (Legal Business Name): BE WELL NOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

188 ECOVILLAGE TRL SE
FLOYD VA
24091-1109
US

IV. Provider business mailing address

PO BOX 864
FLOYD VA
24091-0864
US

V. Phone/Fax

Practice location:
  • Phone: 540-745-2222
  • Fax:
Mailing address:
  • Phone: 540-745-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOE KLEIN
Title or Position: PRESIDENT
Credential: LPC
Phone: 540-588-1806