Organization
BWELL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE MASON LCSW (THERAPIST/OWNER)
(704) 258-4330
Entity
Organization
Contact information
Practice address
724 BALDWIN AVE, CHARLOTTE, NC 28204-3006
(704) 258-4330
Mailing address
724 BALDWIN AVE, CHARLOTTE, NC 28204-3006
(704) 258-4330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C007478
NC
251S00000X
Community/Behavioral Health Agency
SW10498
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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