Livewell Professionals LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1016 Issued in KY

Legal business name

LIVEWELL PROFESSIONALS LLC

Practice address

1011 Lehman Ave Ste 106
Bowling Green, KY 42103-6515

Phone

(270) 783-8100

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Holly Wortman-Sheehan

Title

Owner

Phone

(270) 783-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1215109822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LEHMAN AVE STE 106",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036515",
            "telephone_number": "270-783-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LEHMAN AVE STE 106",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036515",
            "telephone_number": "270-783-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "WORTMAN-SHEEHAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-783-8100"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amara Listenbee
• Shannon Little, APRN
• Kelly Marie Litts, MD
• Ying-Liang Liu
• Jessica Lively
• Dawn Joy Livingston, BSW, MSW, CSW
• Charkitha Lloyd
• Elizabeth Gail Lock, MA IIA
• Lauren Locke
• Hafsa Lodhi, DDS

• Psychologist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.