| Be Well Therapy Pllc | |
|
1935 J N Pease Pl Ste 202 Charlotte NC 28262-4542 | |
| (704) 334-3170 | |
| Not Available |
| Full Name | Be Well Therapy Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1935 J N Pease Pl Ste 202, Charlotte, North Carolina |
| Authorized Official Name and Position | Rolanda Gabriel (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7043343170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Therapy Pllc 2128 Commonwealth Ave Suite E Charlotte NC 28205-5126 Ph: (704) 334-3170 | Be Well Therapy Pllc 1935 J N Pease Pl Ste 202 Charlotte NC 28262-4542 Ph: (704) 334-3170 |
| NPI Number | 1235389248 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Medicare PECOS PAC ID | 1355876574 |
|---|---|
| Medicare Enrollment ID | O20241126000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235389248 | NPI | - | NPPES |
| 6103780 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6804 (North Carolina) | Primary |
| Provider Name | Carshia Pollard Capraro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275835696 PECOS PAC ID: 4789051954 Enrollment ID: I20221031002289 |
| Provider Name | Rolanda Tuere Gabriel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902080641 PECOS PAC ID: 2264967488 Enrollment ID: I20241126000015 |
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