# LIV WELL THERAPY LLC

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

## Provider details

- **NPI number:** 1295509198
- **Authorized official:** OLIVIA FRASER LPCP (OWNER)
- **Authorized official phone:** (410) 299-6332

## Contact information

- **Practice address:** 9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
- **Practice address phone:** (410) 299-6332
- **Practice address fax:** (410) 205-7153
- **Mailing address:** 13 MARYLAND AVE, TOWSON, MD 21286-1101
- **Mailing address phone:** (410) 299-6332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2023
- **Last updated:** 11/10/2023