Provider Demographics
NPI:1235805391
Name:BEE WELL HOLISTIC WELLNESS AND OCCUPATIONAL THERAPY, LLC
Entity Type:Organization
Organization Name:BEE WELL HOLISTIC WELLNESS AND OCCUPATIONAL THERAPY, LLC
Other - Org Name:BEE WELL HOLISTIC HEALTH AND OCCUPATIONAL THERAPY, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEBRA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:207-463-6361
Mailing Address - Street 1:201 B RD
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-3715
Mailing Address - Country:US
Mailing Address - Phone:207-463-6361
Mailing Address - Fax:
Practice Address - Street 1:201 B RD
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-3715
Practice Address - Country:US
Practice Address - Phone:207-463-6361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation