Provider Demographics
NPI:1679066484
Name:BE WELL COUNSELING, LLC
Entity type:Organization
Organization Name:BE WELL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JOLLY
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:ED S, LPC, FMCHC
Authorized Official - Phone:864-266-4339
Mailing Address - Street 1:561 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1946
Mailing Address - Country:US
Mailing Address - Phone:864-266-4339
Mailing Address - Fax:864-597-0407
Practice Address - Street 1:561 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1946
Practice Address - Country:US
Practice Address - Phone:864-266-4339
Practice Address - Fax:864-597-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5651251S00000X, 261QM0801X, 261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health