# LIVE WELL INTEGRATIVE HEALTH AND SERVICES, LLC

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

## Provider details

- **NPI number:** 1760298004
- **Authorized official:** MRS. DANIELLE ELIZABETH STEPHENS ARNP (OWNER)
- **Authorized official phone:** (772) 216-3546

## Contact information

- **Practice address:** 7683 WYLDWOOD WAY, PORT SAINT LUCIE, FL 34986-3008
- **Practice address phone:** (772) 216-3546
- **Mailing address:** 7683 WYLDWOOD WAY, PORT SAINT LUCIE, FL 34986-3008
- **Mailing address phone:** (772) 216-3546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024