Provider Demographics
NPI:1477121218
Name:BE WELL HOLISTIC COUNSELING PLLC
Entity type:Organization
Organization Name:BE WELL HOLISTIC COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:LUX
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-425-3190
Mailing Address - Street 1:1605 W WILSON ST STE 106
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1608
Mailing Address - Country:US
Mailing Address - Phone:630-425-3190
Mailing Address - Fax:855-978-2577
Practice Address - Street 1:1605 W WILSON ST STE 106
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1608
Practice Address - Country:US
Practice Address - Phone:630-425-3190
Practice Address - Fax:855-978-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health