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Contact Information

LIVEWELL BEHAVIORAL HEALTH
2135 ABBOTTSBURY WAY
WOODBRIDGE, VA22191-4098
 Phone: 202-277-9687
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIVEWELL BEHAVIORAL HEALTH

NPI # 1164293171
LBN Legal business name LIVEWELL BEHAVIORAL HEALTH
Authorized official TANISHA BRACEY - (OWNER/CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2024
Last updated 01/10/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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