| Be Well Psychotherapy, Llc | |
|
175 Fairfield Ave Ste 1c West Caldwell NJ 07006-6415 | |
| (973) 886-8300 | |
| Not Available |
| Full Name | Be Well Psychotherapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 175 Fairfield Ave Ste 1c, West Caldwell, New Jersey |
| Authorized Official Name and Position | Lauren F Taibi (OWNER/DIRECTOR) |
| Authorized Official Contact | 9738868300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Psychotherapy, Llc 175 Fairfield Ave Ste 1c West Caldwell NJ 07006-6415 Ph: (973) 886-8300 | Be Well Psychotherapy, Llc 175 Fairfield Ave Ste 1c West Caldwell NJ 07006-6415 Ph: (973) 886-8300 |
| NPI Number | 1730723438 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 0042640807 |
|---|---|
| Medicare Enrollment ID | O20200417001641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730723438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cornelia E Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083151724 PECOS PAC ID: 1850668716 Enrollment ID: I20170524001099 |
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