Organization
BEAL WELLNESS LLC
Active
Organization
BEAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FIELDS (ADMINISTRATOR)
(404) 768-2218
Entity
Organization
Contact information
Practice address
1093 CLEVELAND AVE, EAST POINT, GA 30344-6740
(404) 768-2218
Mailing address
1093 CLEVELAND AVE, EAST POINT, GA 30344-6740
(404) 768-2218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
12/16/2021
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