Livewell Therapy Group LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIVEWELL THERAPY GROUP LLC

Practice address

16017 Patriot Dr
Macomb, MI 48044-4956

Phone

(586) 489-9560

NPI assigned

Apr 26, 2023

Last updated

Apr 26, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony N Rea

Title

Owner

Phone

(586) 489-9560

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1003504242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 PATRIOT DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444956",
            "telephone_number": "586-489-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16017 PATRIOT DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444956",
            "telephone_number": "586-489-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16017 Patriot Dr",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480444956",
            "country_code": "US",
            "telephone_number": "586-489-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVEWELL THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-489-9560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Macomb, MI
• Providers in Macomb, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.