Live Wise Wellness LLC

Key facts

NPI

1497470876

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

LIVE WISE WELLNESS LLC

Practice address

302 Edward St
Georgetown, DE 19947-1116

Phone

(302) 542-3857

NPI assigned

Oct 7, 2022

Organization subpart

No

Authorized official

Name

Mr. Richard R Bell III, LCSW NPI 1932408366

Title

Founder/Provider

Phone

(302) 542-3857

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard R Bell III, MSW Clinical Social Worker · Lewes, DE · NPI 1932408366
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other names

• Live Wise Doing business as

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 7, 2022.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1497470876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EDWARD ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EDWARD ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471116",
            "telephone_number": "302-542-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WISE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER/PROVIDER",
        "authorized_official_telephone_number": "302-542-3857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records Site",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "302 Edward St",
            "city": "Georgetown",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199471116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Live Wise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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