Be Well Lifestyle Centers Mi Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BE WELL LIFESTYLE CENTERS MI INC

Practice address

750 S Old Woodward Ave
Birmingham, MI 48009-6600

Phone

(248) 792-6570

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By 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

Elaine Cozzetto

Title

Authorized Official

Phone

(248) 792-6570

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1447650411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096600",
            "telephone_number": "248-792-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096600",
            "telephone_number": "248-792-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELL LIFESTYLE CENTERS MI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "COZZETTO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-792-6570"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Barry
• Reilly Barth, LMSW-C
• Kelly Michael Bassham, LMSW
• Basshamdbt LLC
• Renea Rishmawi Bayouk, MA, LPC
• Be Well of Birmingham PLLC
• Joseph A Beals, M.D.
• Carolyn Beauvais, M.S.W., A.C.S.W.,
• Manhal Saif Beba
• Becky Siden, LLC (The Center For Growth)

• Chiropractor in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.