# LIVE WELL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154633907
- **Authorized official:** LUIS LUNA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 934-9467

## Contact information

- **Practice address:** 8 BIRCHWOOD CT, UPPER SADDLE RIVER, NJ 07458-1905
- **Practice address phone:** (201) 934-9467
- **Mailing address:** 8 BIRCHWOOD CT, UPPER SADDLE RIVER, NJ 07458-1905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 35SI00415000 | NJ | Yes |
| 103TC1900X | Counseling Psychologist | 35SI00415000 | NJ | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 25MA07806100 | NJ | — |

## Other

- **Enumeration date:** 07/09/2010
- **Last updated:** 07/09/2010