| Beal Wellness Llc | |
|
1093 Cleveland Ave East Point GA 30344-6740 | |
| (404) 768-2218 | |
| Not Available |
| Full Name | Beal Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1093 Cleveland Ave, East Point, Georgia |
| Authorized Official Name and Position | Jennifer Fields (ADMINISTRATOR) |
| Authorized Official Contact | 4047682218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beal Wellness Llc 1093 Cleveland Ave East Point GA 30344-6740 Ph: (404) 768-2218 | Beal Wellness Llc 1093 Cleveland Ave East Point GA 30344-6740 Ph: (404) 768-2218 |
| NPI Number | 1811494503 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Medicare PECOS PAC ID | 4284012444 |
|---|---|
| Medicare Enrollment ID | O20220601000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811494503 | NPI | - | NPPES |
| Provider Name | Eddie C Beal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265644207 PECOS PAC ID: 9335208446 Enrollment ID: I20081104000694 |
| Provider Name | Brandi Tennille Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881326817 PECOS PAC ID: 7517335441 Enrollment ID: I20221123002123 |
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