Live Well Center Llc

LBN: Live Well Center Llc
Live Well Center Llc is an health care organization with primary practice located at 8 Birchwood Ct , Upper Saddle River NJ 07458-1905. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Allopathic & Osteopathic Physicians / Addiction Medicine. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Live Well Center Llc can be contacted via phone (201) 934-9467, or through Luna, Luis via phone (201) 934-9467.

Contact Information

Primary practice address
8 Birchwood Ct Upper Saddle River NJ 07458-1905
Phone: (201) 934-9467
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luna, Luis Doctor of Medicine (MD)
Phone: (201) 934-9467

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 35SI00415000 New Jersey
Behavioral Health & Social Service Providers / Counseling 103TC1900X 35SI00415000 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 25MA07806100 New Jersey

Profile Details

NPI number 1154633907
LBN Legal business name Live Well Center Llc
DBA Doing business as
Authorized official Luna, Luis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2010
Last updated Jul 9th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154633907 NPPES
New Jersey MEDICAID 0140210

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