Provider Demographics
NPI:1386209898
Name:BE WELL PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:BE WELL PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:O'KEEFE-MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-277-6121
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11571-0636
Mailing Address - Country:US
Mailing Address - Phone:516-277-6121
Mailing Address - Fax:
Practice Address - Street 1:250 MERRICK RD UNIT 636
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11571-2030
Practice Address - Country:US
Practice Address - Phone:516-277-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty