Organization
LIVEWELL THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY N REA (OWNER)
(586) 489-9560
Entity
Organization
Contact information
Practice address
16017 PATRIOT DR, MACOMB, MI 48044-4956
(586) 489-9560
Mailing address
16017 PATRIOT DR, MACOMB, MI 48044-4956
(586) 489-9560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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