National Provider Identifier Database

LIVEWELL BEHAVIORAL HEALTH
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LIVEWELL BEHAVIORAL HEALTH
2135 ABBOTTSBURY WAY
WOODBRIDGE, VA22191-4098
Phone: 202-277-9687
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIVEWELL BEHAVIORAL HEALTH

NPI Number 1164293171
Legal business name
LBN
LIVEWELL BEHAVIORAL HEALTH
Authorized official TANISHA BRACEY - (OWNER/CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart No
Enumeration date 01/10/2024
Last updated 01/10/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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