# LIVEWELL ALLIANCE, INC.

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

## Provider details

- **NPI number:** 1396271532
- **Authorized official:** ANYA MARISSE BOUNDS (DIR OF REV & REIMBURSEMENT)
- **Authorized official phone:** (860) 628-3059

## Contact information

- **Practice address:** 1261 S MAIN ST, PLANTSVILLE, CT 06479-1750
- **Practice address phone:** (860) 628-9000
- **Mailing address:** 1261 S MAIN ST, PLANTSVILLE, CT 06479-1750
- **Mailing address phone:** (860) 628-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 009647 | CT | — |
| 225X00000X | Occupational Therapist | 003405 | CT | Yes |

## Other

- **Enumeration date:** 05/09/2017
- **Last updated:** 03/31/2022