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BEAL WELLNESS LLC NPI 1811494503


NPI Information

NPI: 1811494503
Provider Name: BEAL WELLNESS LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 11D2179352

Address:
1093 CLEVELAND AVE
EAST POINT, GA
ZIP 30344
Phone: (404) 768-2218
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BEAL WELLNESS LLC is a psychiatry psychiatry neurology in East Point, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BEAL WELLNESS LLC NPI is 1811494503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1093 CLEVELAND AVE
EAST POINT, GA
ZIP 30344-740
Phone: (404) 768-2218

The provider's authorized official is Jennifer Fields .
The authorized official title is Administrator and has the following contact phone number (404) 768-2218.

The CLIA number assigned to this NPI record is 11D2179352 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 12/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
32084P0800XPsychiatry & NeurologyPsychiatryYes
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
5261Q00000XClinic/CenterNo
6363A00000XPhysician AssistantNo
7390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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