| Livewell Mental Health | |
|
3200 Wilcrest Dr Ste 170 Houston TX 77042-3366 | |
| (832) 271-7168 | |
| (281) 768-4591 |
| Full Name | Livewell Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3200 Wilcrest Dr Ste 170, Houston, Texas |
| Authorized Official Name and Position | Taiwo Elemuren (NURSE PRACTITIONER) |
| Authorized Official Contact | 3234453391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Mental Health 6934 Rosalina Landing Ln Richmond TX 77407-2322 Ph: (323) 445-3391 | Livewell Mental Health 3200 Wilcrest Dr Ste 170 Houston TX 77042-3366 Ph: (832) 271-7168 |
| NPI Number | 1821695214 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 8325419534 |
|---|---|
| Medicare Enrollment ID | O20230126001967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821695214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Taiwo Elemuren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215319983 PECOS PAC ID: 9234500448 Enrollment ID: I20230126002020 |
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