Organization · Type 2 NPI

Be Well Providers, LLC

Adult Mental Health Clinic/Center · Louisville, KY

NPI number 1568971950 Active

Practice location

11824 Ransum Dr Ste 100
Louisville, KY 40243-2802

Call (502) 338-0608 Map

Fax (502) 245-1888

Mailing address

2107 Strathmoor Blvd
Louisville, KY 40205-2529

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	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.

2 other providers at this address

Other adult mental health clinic/center providers in Louisville

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NPI record

NPI: 1568971950
Entity type: Organization (Type 2)
Issued: Sep 28, 2017
Last updated: May 25, 2021
Status: Active

Other names

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Behavioral Wellness Clinic · other name
Louisville Ocd Clinic · other name
Louisville Ocd Clinic · other name

Authorized official

Mr. Justin Brent Wallen, J.D.
Business Manager
(502) 319-3105

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568971950

Be Well Providers, LLC's National Provider Identifier is 1568971950, issued on Sep 28, 2017. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Louisville, KY. The record was last updated on May 25, 2021.