OrganizationActive
Be Well Providers, LLC
NPI 1568971950 · Adult Mental Health Clinic/Center · Louisville, KY
Provider details
- NPI number
- 1568971950
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Wallen, Business Manager(502) 319-3105
Specialties & taxonomies
Ambulatory Health Care Facilities
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
11824 Ransum Dr Ste 100
Louisville, KY 40243-2802
Phone: (502) 338-0608
Fax: (502) 245-1888
Approximate (ZIP-level) locationGet directions
Mailing address
2107 Strathmoor Blvd
Louisville, KY 40205-2529
Other names (DBA / former)
- Other name
- Behavioral Wellness Clinic
- Other name
- Louisville Ocd Clinic
- Other name
- Louisville Ocd Clinic
Registry dates
- Enumerated
- 2017-09-28
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.