# BE WELL THERAPEUTIC INNOVATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063861557
- **Authorized official:** DR. ANGELA LABRIE BLACKWELL PHD, OTR/L (OWNER)
- **Authorized official phone:** (816) 582-4181

## Contact information

- **Practice address:** 6320 BROOKSIDE PLZ, UNIT 148, KANSAS CITY, MO 64113-1709
- **Practice address phone:** (901) 907-9491
- **Mailing address:** 6320 BROOKSIDE PLZ, UNIT 148, KANSAS CITY, MO 64113-1709
- **Mailing address phone:** (901) 907-9491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2011000123 | MO | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016