Provider Demographics
NPI:1780065276
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/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-236-2394
Mailing Address - Street 1:1310 MIDDLEFORD RD
Mailing Address - Street 2:STE 102
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3670
Mailing Address - Country:US
Mailing Address - Phone:302-236-2394
Mailing Address - Fax:302-536-7498
Practice Address - Street 1:1310 MIDDLEFORD RD
Practice Address - Street 2:STE 102
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3670
Practice Address - Country:US
Practice Address - Phone:302-404-3399
Practice Address - Fax:302-536-7498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BE WELL COUNSELING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-10
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty