Be Welling Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

C009589 Issued in NC

Legal business name

BE WELLING THERAPY

Practice address

4070 Barrett Dr
Raleigh, NC 27609-6604

Phone

(919) 589-3551

NPI assigned

May 14, 2017

Organization subpart

No

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

Authorized official

Name

Emily June Harrison, LCSW, LCAS

Title

Outpatient Therapist

Phone

(919) 589-3551

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494720000000",
    "number": "1720515364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 PEMBROKE CT",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917129",
            "telephone_number": "919-589-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096604",
            "telephone_number": "919-589-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WELLING THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-14",
        "last_updated": "2017-05-14",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "919-589-3551",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "C009589",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": "LCAS-20128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kristen Bazinet, OTR/L
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• BCM Southeast Enterprises, LLC (ASP Medical Transport)
• Be Aligned Chiropractic PC
• Be Well Home Care, Inc.
• Kristen Bryda Beach, RD, LDN
• Nekita Danette Beach
• Jessica Ann Beal
• Selena Beal, PA
• David Calvin Beall, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; 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.