Organization
BEEWELL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX C GONZALEZ LCMHC, NCC (OWNER, CEO)
(801) 694-1006
Entity
Organization
Contact information
Practice address
149 N 1200 E STE 110, LEHI, UT 84043-2247
(385) 287-0555
Mailing address
770 E MAIN ST # 135, LEHI, UT 84043-2293
(801) 694-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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