Provider Demographics
NPI:1780282459
Name:BE WELL MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:BE WELL MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MANNION
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:339-234-9636
Mailing Address - Street 1:2 ANGELA CIR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3102
Mailing Address - Country:US
Mailing Address - Phone:339-234-9636
Mailing Address - Fax:
Practice Address - Street 1:2 ANGELA CIR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3102
Practice Address - Country:US
Practice Address - Phone:339-234-9636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health