| Be Well Kinda Place Llc | |
|
1347 Jefferson St N Lewisburg WV 24901-2212 | |
| (304) 520-4074 | |
| Not Available |
| Full Name | Be Well Kinda Place Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1347 Jefferson St N, Lewisburg, West Virginia |
| Authorized Official Name and Position | Rachel Levan (OWNER/PROVIDER) |
| Authorized Official Contact | 3046677410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Kinda Place Llc 173 Court St S Lewisburg WV 24901-2043 Ph: (304) 520-4240 | Be Well Kinda Place Llc 1347 Jefferson St N Lewisburg WV 24901-2212 Ph: (304) 520-4074 |
| NPI Number | 1740924240 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 4486034857 |
|---|---|
| Medicare Enrollment ID | O20220630002899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740924240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Leah Levan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497901557 PECOS PAC ID: 6103960984 Enrollment ID: I20120516000105 |
| Provider Name | Christine A Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750825238 PECOS PAC ID: 3375827843 Enrollment ID: I20170228001923 |
| Provider Name | David Franklin Samsock |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1316276496 PECOS PAC ID: 3971969783 Enrollment ID: I20230522001415 |
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