Provider Demographics
NPI:1043817042
Name:BE-U PSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:BE-U PSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNESKA
Authorized Official - Middle Name:HILIAN
Authorized Official - Last Name:FERNANDEZ FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MA PSY
Authorized Official - Phone:787-205-1389
Mailing Address - Street 1:PO BOX 370746
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0746
Mailing Address - Country:US
Mailing Address - Phone:787-205-1389
Mailing Address - Fax:
Practice Address - Street 1:107 AVE MUNOZ RIVERA S
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4719
Practice Address - Country:US
Practice Address - Phone:787-205-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-03
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty