Healthcare Provider Details

I. General information

NPI: 1184585622
Provider Name (Legal Business Name): 2LIVEWELL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13919 AMELIA LAKE LN
HOUSTON TX
77044-4543
US

IV. Provider business mailing address

13919 AMELIA LAKE LN
HOUSTON TX
77044-4543
US

V. Phone/Fax

Practice location:
  • Phone: 618-477-4868
  • Fax: 847-483-1610
Mailing address:
  • Phone: 618-477-4868
  • Fax: 847-483-1610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JASMIN A BELL
Title or Position: MANAGER
Credential:
Phone: 618-477-4868