Bewell Psychotherapy Pllc

LBN: Bewell Psychotherapy Pllc
Bewell Psychotherapy Pllc is an health care organization with primary practice located at 1821 University Ave W Ste 461-9 , Saint Paul MN 55104-2801. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty. Bewell Psychotherapy Pllc can be contacted via phone (612) 421-3178, or through Gubrud, Ross Elliot via phone (612) 421-3187.

Contact Information

Primary practice address
1821 University Ave W Ste 461-9 Saint Paul MN 55104-2801
Phone: (612) 421-3178
Fax: (612) 421-3183
Website:
Map and Directions
Authorized official contact:
Name: Gubrud, Ross Elliot Doctor of Medicine (MD)
Phone: (612) 421-3187

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1346819307
LBN Legal business name Bewell Psychotherapy Pllc
DBA Doing business as
Authorized official Gubrud, Ross Elliot Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Nov 3rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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