Healthcare Provider Details

I. General information

NPI: 1629908546
Provider Name (Legal Business Name): LIVEWELL COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24700 AURORA RD STE 3A
BEDFORD HTS OH
44146-1786
US

IV. Provider business mailing address

24700 AURORA RD STE 3A
BEDFORD HTS OH
44146-1786
US

V. Phone/Fax

Practice location:
  • Phone: 216-868-6545
  • Fax:
Mailing address:
  • Phone: 216-868-6545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TASHAWNNA M MURRAY
Title or Position: OWNER
Credential:
Phone: 216-868-6545