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Organization
LIVE WELL COUNSELING LLC
Active
Organization
LIVE WELL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD M BACIGALUPO LCSW (PRESIDENT)
(646) 842-1406
Entity
Organization
Contact information
Practice address
156 5TH AVE, SUITE 202, NEW YORK, NY 10010-7002
(646) 842-1406
(212) 645-0919
Mailing address
156 5TH AVE, SUITE 202, NEW YORK, NY 10010-7002
(646) 842-1406
(212) 645-0919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076976
NY
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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