Organization · Type 2 NPI
Be Well Collaborative PLLC
Adult Mental Health Clinic/Center · Mulkeytown, IL
NPI number
1306780440
Active
Practice location
1163 Park Street Rd
Mulkeytown, IL 62865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1306780440
Be Well Collaborative PLLC's National Provider Identifier is 1306780440, issued on Apr 17, 2026. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Mulkeytown, IL. The record was last updated on Jul 28, 2026.