Provider Demographics
NPI:1275173973
Name:BE.SERVICES & SOLUTIONS AGENCY
Entity Type:Organization
Organization Name:BE.SERVICES & SOLUTIONS AGENCY
Other - Org Name:BE BEHAVIORAL HEALTH & COUNSELING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COMPLIANCE SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FELICIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-916-7692
Mailing Address - Street 1:3205 OXFORD AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3565
Mailing Address - Country:US
Mailing Address - Phone:347-209-4237
Mailing Address - Fax:917-916-7692
Practice Address - Street 1:3205 OXFORD AVE APT 10
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3565
Practice Address - Country:US
Practice Address - Phone:347-209-4237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2019121906550732320Medicaid
NY831163621Medicaid
NY831163621OtherCASE MANAGEMENT