| Livewell Therapy Group LLC | |
|
16017 Patriot Dr Macomb MI 48044-4956 | |
| (586) 489-9560 | |
| Not Available |
| Full Name | Livewell Therapy Group LLC |
|---|---|
| Speciality | Psychologist |
| Location | 16017 Patriot Dr, Macomb, Michigan |
| Authorized Official Name and Position | Anthony N Rea (OWNER) |
| Authorized Official Contact | 5864899560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Therapy Group LLC 16017 Patriot Dr Macomb MI 48044-4956 Ph: (586) 489-9560 | Livewell Therapy Group LLC 16017 Patriot Dr Macomb MI 48044-4956 Ph: (586) 489-9560 |
| NPI Number | 1003504242 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003504242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (NU) | Primary |
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