Provider Demographics
NPI:1275120784
Name:BE WELL CENTER FOR COUNSELING & HEALING PLLC
Entity Type:Organization
Organization Name:BE WELL CENTER FOR COUNSELING & HEALING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIC. MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:AREND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, RPT
Authorized Official - Phone:612-888-5910
Mailing Address - Street 1:1903 GREELEY ST S STE 202
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6279
Mailing Address - Country:US
Mailing Address - Phone:612-888-5910
Mailing Address - Fax:651-390-5503
Practice Address - Street 1:1903 GREELEY ST S STE 202
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6279
Practice Address - Country:US
Practice Address - Phone:612-888-5910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health