Provider Demographics
NPI:1215695416
Name:BE WELL COUNSELING LLC
Entity type:Organization
Organization Name:BE WELL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-204-0630
Mailing Address - Street 1:540 WATER ST STE 202
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-6378
Mailing Address - Country:US
Mailing Address - Phone:907-204-0630
Mailing Address - Fax:907-290-2513
Practice Address - Street 1:540 WATER ST STE 202
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-6378
Practice Address - Country:US
Practice Address - Phone:907-204-0630
Practice Address - Fax:907-290-2513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK113884OtherCOUNSELING LICENSURE
AK1715908Medicaid