Healthcare Provider Details

I. General information

NPI: 1760334288
Provider Name (Legal Business Name): LIVE WELL COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7796 MACOMB ST
GROSSE ILE MI
48138-2201
US

IV. Provider business mailing address

7796 MACOMB ST
GROSSE ILE MI
48138-2201
US

V. Phone/Fax

Practice location:
  • Phone: 313-241-4013
  • Fax:
Mailing address:
  • Phone: 313-241-4013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY GRAWBURG
Title or Position: OWNER/PSYCHOTHERAPIST
Credential:
Phone: 313-241-4013