Organization · NPI-2

Be Wellness, LLC

Community/Behavioral Health · Tempe, AZ

NPI number1063178069
StatusActive
Last updated in NPPESNov 14, 2021

Details

NPI
1063178069
Entity type
Organization (NPI-2)
Legal business name
Be Wellness, LLC
Organization subpart
No
Enumeration date
Nov 14, 2021
Certification date
Nov 14, 2021
Last updated
Nov 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Theresa D Moore (Former Legal Business Name)

Practice location

64 E Broadway Rd Ste 280
Tempe, AZ 85282-1353

Phone 773-587-8240 · Fax 773-526-7634

Mailing address

9449 S Kedzie Ave # 533
Evergreen Park, IL 60805-2325

Phone 177-358-7824

Authorized official

Theresa Denise Moore
Owner
7735878240

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health providers in Tempe, AZ