Livewell Professionals Llc

NPI 1215109822 - Psychologist - 103T00000X

NPI Details
NPI 1215109822
Enumeration Date 03/24/2008
Last Updated 03/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name HOLLY HOLLY
Position OWNER
Phone (270) 783-8100
Fax
Practice Location
1011 LEHMAN AVE STE 106
BOWLING GREEN KY, 42103-6515, US
Phone (270) 783-8100
Fax
Business Location
1011 LEHMAN AVE STE 106
BOWLING GREEN KY, 42103-6515, US
Phone (270) 783-8100
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Kentucky
License Number 1016
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According to our database, Livewell Professionals Llc NPI is 1215109822, taxonomy code is 103T00000X and license number is 1016, license state is located at Kentucky. Livewell Professionals Llc physically located at 1011 Lehman Ave Ste 106, Bowling Green KY, 42103-6515. NPI Number 1033115704 has the healthcare provider type.

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1215109822 NPI number is provided on an as is basis without warranty of any kind. 1215109822 is maintained by the National Plan & Provider Enumeration System. The contents of Livewell Professionals Llc are for informational purposes only.