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General NPI Number Information
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NPI Number | 1760334288
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Entity Type | Organization
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Legal Business Name | LIVE WELL COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3953 GERTRUDE ST.
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125
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Country | US
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Telephone | 313-241-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 9125 TELEGRAPH RD STE 266
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City | TAYLOR
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State | MI
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Zip | 48180-2365
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Country | US
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Telephone | 313-241-4013
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | EMILY GRAWBURG
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Credential |
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Telephone | 313-241-4013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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