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General NPI Number Information
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NPI Number | 1740924240
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Entity Type | Organization
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Legal Business Name | BE WELL KINDA PLACE LLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 322 RED OAKS SHOPPING CTR
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City | RONCEVERTE
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State | WV
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Zip | 24970-1364
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Country | US
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Telephone | 304-520-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 173 COURT ST S
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City | LEWISBURG
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State | WV
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Zip | 24901-2043
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Country | US
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Telephone | 304-520-4240
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. RACHEL LEVAN
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Credential | MSW/LICSW
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Telephone | 304-667-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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