Bewell Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BEWELL THERAPY LLC

Practice address

201 N Union St
Alexandria, VA 22314-2642

Phone

(703) 544-9171

Fax

(571) 933-9130

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Maureen Amos, LPC

Title

Administrator

Phone

(703) 544-9171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1518645894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNION ST STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142663",
            "telephone_number": "703-544-9171",
            "fax_number": "571-933-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNION ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142642",
            "telephone_number": "703-544-9171",
            "fax_number": "571-933-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-544-9171",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.