| Live Well Coaching Inc | |
|
269 Church Street Hebron CT 06248 | |
| (860) 465-7877 | |
| Not Available |
| Full Name | Live Well Coaching Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 269 Church Street, Hebron, Connecticut |
| Authorized Official Name and Position | Shannon Lynne Garthwait (PRESIDENT/OWNER) |
| Authorized Official Contact | 8604657877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Coaching Inc 111 Clubhouse Rd Lebanon CT 06249-1615 Ph: (860) 465-7877 | Live Well Coaching Inc 269 Church Street Hebron CT 06248 Ph: (860) 465-7877 |
| NPI Number | 1205180205 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205180205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002207 (Connecticut) | Primary |
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