Organization
BE WELLNESS, LLC
Active
Other names
Theresa D Moore
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA DENISE MOORE ED.D, LCPC (OWNER)
(773) 587-8240
Entity
Organization
Contact information
Practice address
64 E BROADWAY RD STE 280, TEMPE, AZ 85282-1353
(773) 587-8240
(773) 526-7634
Mailing address
9449 S KEDZIE AVE # 533, EVERGREEN PARK, IL 60805-2325
(177) 358-7824
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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