Healthcare Provider Details
I. General information
NPI: 1225960958
Provider Name (Legal Business Name): LIVEWELL BEHAVIORAL AND ADDICTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1125 WINFIELD AVE
CINCINNATI OH
45205-1668
US
IV. Provider business mailing address
321 WASHINGTON AVE
CINCINNATI OH
45215-2735
US
V. Phone/Fax
- Phone: 513-707-8042
- Fax:
- Phone: 513-707-8042
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHLI
O'NEAL
Title or Position: CEO
Credential: APRN
Phone: 513-707-8042