Healthcare Provider Details

I. General information

NPI: 1326954082
Provider Name (Legal Business Name): JUST LIV THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 W MAPLE RD
TROY MI
48084-5376
US

IV. Provider business mailing address

950 W MAPLE RD
TROY MI
48084-5376
US

V. Phone/Fax

Practice location:
  • Phone: 248-978-3970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLIVIA ASFAR
Title or Position: LIMITED LICENSE PSYCHOLOGIST
Credential: LLP
Phone: 248-978-3970