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NPI Code Detail

MEDICARE: BE WELL CENTER FOR COUNSELING & HEALING PLLC

MEDICARE: BE WELL CENTER FOR COUNSELING & HEALING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1275120784
Entity Type Code : Organization
Provider Name (Legal Business Name) : BE WELL CENTER FOR COUNSELING & HEALING PLLC
Provider Business Mailing Address
First Line : 1903 GREELEY ST S STE 202
Second Line :
City : STILLWATER
State : MN
Zip : 55082-6279
Country : US
Telephone Number : 612-888-5910
Fax Number : 651-390-5503
Provider Business Practice Location Address
First Line : 1903 GREELEY ST S STE 202
Second Line :
City : STILLWATER
State : MN
Zip : 55082-6279
Country : US
Telephone Number : 612-888-5910
Fax Number :
Authorized Official
Title or Position : LIC. MARRIAGE & FAMILY THERAPIST
Name : KELLE ANN AREND
Credential : MA, LMFT, RPT
Telephone Number : 612-888-5910
Provider Enumeration Date : 12/30/2020
Last Update Date : 12/01/2023

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Directions to “BE WELL CENTER FOR COUNSELING & HEALING PLLC ” Practice Location

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