Organization Active NPI

Bee Well Child and Family Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • Davenport, IA
National Provider Identifier
1467038547
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BEE WELL CHILD AND FAMILY THERAPY
Practice address
736 Federal St
Davenport, IA 52803-5749
Phone
(563) 209-6033
NPI assigned
Mar 20, 2021
Last updated
Mar 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Authorized official

Name
Carlie Shannon, LISWNPI 1669070777
Title
Therapist/Owner
Phone
(563) 209-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

736 Federal St
Davenport, IA 52803-5749

Mailing address

411 Cherry St
Port Byron, IL 61275-9635
Phone (563) 209-6033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616198400000",
    "number": "1467038547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHERRY ST",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612759635",
            "telephone_number": "563-209-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 FEDERAL ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035749",
            "telephone_number": "563-209-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE WELL CHILD AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CARLIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "563-209-6033",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.