Provider Demographics
NPI:1124833223
Name:BE WELL WELLBEING CAPE COD LLC
Entity type:Organization
Organization Name:BE WELL WELLBEING CAPE COD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-213-1507
Mailing Address - Street 1:63 S ORLEANS RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-2869
Mailing Address - Country:US
Mailing Address - Phone:757-435-7517
Mailing Address - Fax:508-213-1507
Practice Address - Street 1:63 S ORLEANS RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2869
Practice Address - Country:US
Practice Address - Phone:757-435-7517
Practice Address - Fax:508-213-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty