| Be Well Psychological Services, Llc | |
|
2165 Woodlane Dr Ste 100 Woodbury MN 55125-3055 | |
| (612) 234-1558 | |
| Not Available |
| Full Name | Be Well Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2165 Woodlane Dr Ste 100, Woodbury, Minnesota |
| Authorized Official Name and Position | Bee Xiong-vang (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6122341558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Psychological Services, Llc 7581 Springbrook Ln Woodbury MN 55125-1682 Ph: (715) 379-1695 | Be Well Psychological Services, Llc 2165 Woodlane Dr Ste 100 Woodbury MN 55125-3055 Ph: (612) 234-1558 |
| NPI Number | 1609603471 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 9638606734 |
|---|---|
| Medicare Enrollment ID | O20250102000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609603471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bee Xiong-vang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942529557 PECOS PAC ID: 3173789336 Enrollment ID: I20191113002321 |
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