| Live Well Psychology Group, Inc | |
|
11845 W Olympic Blvd Ste 1080w Los Angeles CA 90064-5023 | |
| (424) 453-8084 | |
| Not Available |
| Full Name | Live Well Psychology Group, Inc |
|---|---|
| Speciality | Psychologist - Health |
| Location | 11845 W Olympic Blvd Ste 1080w, Los Angeles, California |
| Authorized Official Name and Position | Alexia Holovatyk (PRESIDENT) |
| Authorized Official Contact | 4244538089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Psychology Group, Inc 419 Hill St Apt 3 Santa Monica CA 90405-4284 Ph: (330) 507-7441 | Live Well Psychology Group, Inc 11845 W Olympic Blvd Ste 1080w Los Angeles CA 90064-5023 Ph: (424) 453-8084 |
| NPI Number | 1013755917 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013755917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
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