Provider Demographics
NPI:1639718109
Name:BEING THERE ENLIGHTENMENT SYSTEMS, INC.
Entity Type:Organization
Organization Name:BEING THERE ENLIGHTENMENT SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BE
Authorized Official - Suffix:
Authorized Official - Credentials:DDIV
Authorized Official - Phone:970-245-6502
Mailing Address - Street 1:561 W CRETE CIR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-6912
Mailing Address - Country:US
Mailing Address - Phone:970-245-6502
Mailing Address - Fax:
Practice Address - Street 1:561 W CRETE CIR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-6912
Practice Address - Country:US
Practice Address - Phone:970-245-6502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty