Provider Demographics
NPI:1801769849
Name:BE WELL THERAPY PLLC
Entity type:Organization
Organization Name:BE WELL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLANDA
Authorized Official - Middle Name:TUERE
Authorized Official - Last Name:GABRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:704-334-3170
Mailing Address - Street 1:1935 J N PEASE PL STE 202
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4542
Mailing Address - Country:US
Mailing Address - Phone:704-334-3170
Mailing Address - Fax:
Practice Address - Street 1:6608 ACCRINGTON CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-1021
Practice Address - Country:US
Practice Address - Phone:980-825-2461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BE WELL THERAPY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children