| Live Life Wellness Clinic Llc | |
|
1011 Highway 6 S Ste 105 Houston TX 77077-1031 | |
| (678) 799-5331 | |
| Not Available |
| Full Name | Live Life Wellness Clinic Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1011 Highway 6 S Ste 105, Houston, Texas |
| Authorized Official Name and Position | Lidia Mckinney (OWNER) |
| Authorized Official Contact | 6787995331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Life Wellness Clinic Llc 11900 Shadow Creek Pkwy 1215 Pearland TX 77584 Ph: (678) 799-5331 | Live Life Wellness Clinic Llc 1011 Highway 6 S Ste 105 Houston TX 77077-1031 Ph: (678) 799-5331 |
| NPI Number | 1023602471 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023602471 | NPI | - | NPPES |
| 439230002 | Medicaid | TX |
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