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General NPI Number Information
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NPI Number | 1821695214
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Entity Type | Organization
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Legal Business Name | LIVEWELL MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 3200 WILCREST DR STE 170
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City | HOUSTON
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State | TX
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Zip | 77042-3366
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Country | US
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Telephone | 832-271-7168
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Fax | 281-768-4591
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Provider Business Mailing Address
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Address Line | 6934 ROSALINA LANDING LN
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City | RICHMOND
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State | TX
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Zip | 77407-2322
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Country | US
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Telephone | 323-445-3391
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TAIWO ELEMUREN
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Credential | PMHNP, FNP
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Telephone | 323-445-3391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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