| Live Well Psychology Center, Llc | |
|
48 Woodport Rd Suite 22 Sparta NJ 07871 | |
| (973) 726-5200 | |
| Not Available |
| Full Name | Live Well Psychology Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 48 Woodport Rd, Sparta, New Jersey |
| Authorized Official Name and Position | Alexandra Miller (CLINICAL DIRECTOR, OWNER) |
| Authorized Official Contact | 9737265200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Psychology Center, Llc 48 Woodport Rd Suite 22 Sparta NJ 07871 Ph: (973) 726-5200 | Live Well Psychology Center, Llc 48 Woodport Rd Suite 22 Sparta NJ 07871 Ph: (973) 726-5200 |
| NPI Number | 1902459670 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Medicare PECOS PAC ID | 5799187928 |
|---|---|
| Medicare Enrollment ID | O20210712000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902459670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Heidi E Keller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801088356 PECOS PAC ID: 7810177276 Enrollment ID: I20110202000669 |
| Provider Name | Takako Komatsuzaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373172 PECOS PAC ID: 6103172416 Enrollment ID: I20180628001961 |
American Institute Of Human Relations Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Island Trail, Sparta, NJ 07871 Phone: 973-729-0644 Fax: 973-729-9757 | |
Highlands Psychiatric Associates, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Sparta Ave, Suite 240, Sparta, NJ 07871 Phone: 973-729-2991 Fax: 973-729-7641 | |
Sureshbabu Kurra Md Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Hyde Park Pl, Sparta, NJ 07871 Phone: 201-213-4021 | |
Youth Advocate Programs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 Sparta Ave Ste E, Sparta, NJ 07871 Phone: 973-729-3617 | |
Center For Family Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Woodport Rd, Sparta, NJ 07871 Phone: 201-317-6932 | |
Wtts Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Sparta, NJ 07871 Phone: 973-903-5431 Fax: 973-905-4899 | |
Clear Horizons Theraputic Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 Sparta Ave, Sparta, NJ 07871 Phone: 973-670-0031 |