| Livwell Therapy & Wellness | |
|
213 74th Way N Brooklyn Park MN 55444-3001 | |
| (612) 456-1036 | |
| (952) 213-4117 |
| Full Name | Livwell Therapy & Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 213 74th Way N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Elise Smith (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9522134114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livwell Therapy & Wellness 7501 W 101st St Apt 114 Bloomington MN 55438-2519 Ph: (952) 213-4114 | Livwell Therapy & Wellness 213 74th Way N Brooklyn Park MN 55444-3001 Ph: (612) 456-1036 |
| NPI Number | 1649965419 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649965419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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