Provider Demographics
NPI:1669342820
Name:BESS TELEHEALTH PRACTICE
Entity type:Organization
Organization Name:BESS TELEHEALTH PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-686-5071
Mailing Address - Street 1:7400 N VILLA LAKE DR APT N6
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-8263
Mailing Address - Country:US
Mailing Address - Phone:309-696-5071
Mailing Address - Fax:
Practice Address - Street 1:7400 N VILLA LAKE DR APT N6
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-8263
Practice Address - Country:US
Practice Address - Phone:309-696-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty