Organization
BEE WELL CHILD AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLIE SHANNON LISW (THERAPIST/OWNER)
(563) 209-6033
Entity
Organization
Contact information
Practice address
736 FEDERAL ST, DAVENPORT, IA 52803-5749
(563) 209-6033
Mailing address
411 CHERRY ST, PORT BYRON, IL 61275-9635
(563) 209-6033
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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