Organization
BE WELL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY D MARTIN LCSW (OWNER)
(224) 385-1268
Entity
Organization
Contact information
Practice address
850 E GRAND AVE STE 4A, LAKE VILLA, IL 60046-7885
(224) 358-1268
Mailing address
850 E GRAND AVE STE 4A, LAKE VILLA, IL 60046-7885
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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