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NPI Code Detail

MEDICARE: BE. WELL BEHAVIORAL HEALTH

MEDICARE: BE. WELL BEHAVIORAL HEALTH
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1467390088
Entity Type Code : Organization
Provider Name (Legal Business Name) : BE. WELL BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 18231 TACOMA RIDGE DR
Second Line :
City : TOMBALL
State : TX
Zip : 77377-2335
Country : US
Telephone Number : 832-585-3561
Fax Number :
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1883
Country : US
Telephone Number : 832-585-3561
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. GAIL KAKISHITA
Credential : LMFT
Telephone Number : 510-914-6282
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “BE. WELL BEHAVIORAL HEALTH ” Practice Location

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