| Livewell Behavioral Health | |
|
2135 Abbottsbury Way Woodbridge VA 22191-4098 | |
| (202) 277-9687 | |
| Not Available |
| Full Name | Livewell Behavioral Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2135 Abbottsbury Way, Woodbridge, Virginia |
| Authorized Official Name and Position | Tanisha Bracey (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2022779687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Behavioral Health 15000 Potomac Town Pl, Suite 100 #506 Woodbridge VA 22191 Ph: () - | Livewell Behavioral Health 2135 Abbottsbury Way Woodbridge VA 22191-4098 Ph: (202) 277-9687 |
| NPI Number | 1164293171 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164293171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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