| Be Well Therapeutic Center Llc | |
|
110 E Main St Mount Sterling IL 62353-1326 | |
| (217) 830-8077 | |
| Not Available |
| Full Name | Be Well Therapeutic Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 E Main St, Mount Sterling, Illinois |
| Authorized Official Name and Position | Rochelle L Briney (AUTHORIZED OFFICIAL/LCSW PROVIDER) |
| Authorized Official Contact | 2178308077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Therapeutic Center Llc 110 E Main St Mt Sterling IL 62353-1326 Ph: (217) 830-8077 | Be Well Therapeutic Center Llc 110 E Main St Mount Sterling IL 62353-1326 Ph: (217) 830-8077 |
| NPI Number | 1740973551 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 7810330537 |
|---|---|
| Medicare Enrollment ID | O20240209002552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740973551 | NPI | - | NPPES |
| Provider Name | Rochelle L Briney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285964684 PECOS PAC ID: 3173768967 Enrollment ID: I20130327000322 |
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