Live.Well LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2008 Issued in WV

Legal business name

LIVE.WELL LLC

Practice address

517 Fairmont Ave
Fairmont, WV 26554-5101

Phone

(304) 612-8860

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Denise Tonkin

Title

Owner

Phone

(304) 612-8860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1275076374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIDDEN TRL",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548822",
            "telephone_number": "304-612-8860",
            "fax_number": "681-214-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545101",
            "telephone_number": "304-612-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE.WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "TONKIN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-612-8860"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L. Ray,DDS and William a. Ray, II, DDS, PLLC
• Katherine Linderman, OTR/L
• Dorothy Lint
• Stefanie Marie Little
• Barbara A Litton Cox, MS, CCC/A
• Jonathan Roy Logan, M.D.
• Dale Allan Long
• Susie Jane Long
• Longevity Clinical LTC Associates of West Virginia, PLLC
• Kaci Longwell

• Community/Behavioral Health Agency in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.