| Livewell Counseling Center, Llc | |
|
1500 1st Ave Ne Ste 204 Rochester MN 55906-4170 | |
| (507) 951-3874 | |
| Not Available |
| Full Name | Livewell Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1500 1st Ave Ne Ste 204, Rochester, Minnesota |
| Authorized Official Name and Position | Jessica Sky Smith (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5079513874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Counseling Center, Llc 1301 8th Ave Ne Rochester MN 55906-7067 Ph: (507) 951-3874 | Livewell Counseling Center, Llc 1500 1st Ave Ne Ste 204 Rochester MN 55906-4170 Ph: (507) 951-3874 |
| NPI Number | 1316298847 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316298847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20593 (Minnesota) | Primary |
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