Provider Demographics
NPI:1962190389
Name:BE YOU THERAPY LLC
Entity type:Organization
Organization Name:BE YOU THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC BCBA
Authorized Official - Phone:248-613-1261
Mailing Address - Street 1:45234 PRESTBURY RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2978
Mailing Address - Country:US
Mailing Address - Phone:248-613-1261
Mailing Address - Fax:248-671-3446
Practice Address - Street 1:45234 PRESTBURY RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2978
Practice Address - Country:US
Practice Address - Phone:248-613-1261
Practice Address - Fax:248-671-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty