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General NPI Number Information
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NPI Number | 1770322067
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Entity Type | Organization
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Legal Business Name | LIVE WELL COUNSELING, LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 3307 WASHINGTON RD STE E
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City | CANONSBURG
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State | PA
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Zip | 15317-6400
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Country | US
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Telephone | 412-336-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 425 BLAINE AVE
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City | CANONSBURG
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State | PA
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Zip | 15317-2107
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Country | US
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Telephone | 304-216-9054
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLIVIA LEONARD
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Credential | LPC
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Telephone | 412-336-8970
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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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