Provider Demographics
NPI:1770217853
Name:BE WELL MICHIGAN COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BE WELL MICHIGAN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CCTSI
Authorized Official - Phone:231-486-5434
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:WALLOON LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49796-0014
Mailing Address - Country:US
Mailing Address - Phone:231-486-5434
Mailing Address - Fax:
Practice Address - Street 1:100 N M 75
Practice Address - Street 2:
Practice Address - City:BOYNE CITY
Practice Address - State:MI
Practice Address - Zip Code:49712-9169
Practice Address - Country:US
Practice Address - Phone:231-486-5434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty