Organization Name: | BE WELL AND BEYOND,INC. |
NPI Number: | 1144555038 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EFIMIA PAPADOPOULOS (PRESIDENT) |
Mailing Address: | 77 Great Road Suite 203 Acton |
State: | MA US |
Postal Code: | 017206783 |
Phone Number: | 9782635771 |
Fax Number: | 9782635778 |
NPI Enumeration Date: | 10/09/2009 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 09064 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |