NPIMap

Organization Active NPI

Livewell Integrative Health Corp

  • Psychologist
  • Melbourne, FL
National Provider Identifier
1356926695
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LIVEWELL INTEGRATIVE HEALTH CORP
Practice address
8249 Devereux Dr Ste 101
Melbourne, FL 32940-7955
Phone
(321) 259-1662
Fax
(321) 779-7729
NPI assigned
Mar 17, 2021
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Miss Michele Ronsisvalle
Title
Chief Operations Officer
Phone
(321) 259-1662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

8249 Devereux Dr Ste 101
Melbourne, FL 32940-7955

Mailing address

200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389
Phone (321) 446-7150

Other practice location 1

200 S Harbor City Blvd Ste 401
Melbourne, FL 32901-1389
Phone (321) 446-7150

National Provider Directory

National Provider Directory

Locations

8249 Devereux Dr
Ste 101
Melbourne, FL 32940
Phone (321) 259-1662

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1356926695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD STE 401",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011389",
            "telephone_number": "321-446-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8249 DEVEREUX DR STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407955",
            "telephone_number": "321-259-1662",
            "fax_number": "321-779-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Harbor City Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011389",
            "country_code": "US",
            "telephone_number": "321-446-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVEWELL INTEGRATIVE HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "RONSISVALLE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "321-259-1662",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.