| Livewell Therapy, LLC | |
|
1222 Main St Apt 5 Union Grove WI 53182-1343 | |
| (262) 232-4290 | |
| Not Available |
| Full Name | Livewell Therapy, LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1222 Main St Apt 5, Union Grove, Wisconsin |
| Authorized Official Name and Position | Derek Alcala (LPC) |
| Authorized Official Contact | 2629393936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Therapy, LLC 3635 Britton Rdg Union Grove WI 53182-9360 Ph: (262) 939-3936 | Livewell Therapy, LLC 1222 Main St Apt 5 Union Grove WI 53182-1343 Ph: (262) 232-4290 |
| NPI Number | 1043122849 |
|---|---|
| Provider Enumeration Date | 09/18/2026 |
| Last Update Date | 09/18/2026 |
| Certification Date | 09/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043122849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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