Organization
BEEN LIVING WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANCE WILLIAM LUNA (OWNER)
(972) 806-0877
Entity
Organization
Contact information
Practice address
20320 STATE HIGHWAY 19, CANTON, TX 75103-5742
(972) 806-0877
(833) 586-2467
Mailing address
5954 BROADWAY BLVD # 105, GARLAND, TX 75043-5822
(972) 806-0877
(833) 586-2467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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