Be Well Collaborative PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BE WELL COLLABORATIVE PLLC

Practice address

1163 Park Street Rd
Mulkeytown, IL 62865

Phone

(618) 816-5032

NPI assigned

Apr 17, 2026

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth L Harbison, FNP-BC, PMHNP-BCNPI 1508252495

Title

Managing Member

Phone

(618) 318-2472

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth L. Harbison, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Du Quoin, IL
  • NPI 1508252495
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1306780440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 PARK STREET RD",
            "city": "MULKEYTOWN",
            "state": "IL",
            "postal_code": "62865",
            "telephone_number": "618-816-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 PARK STREET RD",
            "city": "MULKEYTOWN",
            "state": "IL",
            "postal_code": "62865",
            "telephone_number": "618-816-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL COLLABORATIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "HARBISON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "618-318-2472",
        "authorized_official_credential": "FNP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Lynne Dublo, LCSW
• Bethany Joy Dwyer, MS/CCC-SLP
• Jessica Morhet
• Joni Dawn Utlaut, DT
• Zeigler Royalton Commty

• Adult Mental Health Clinic/Center in Mulkeytown, IL
• Providers in Mulkeytown, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.