Organization
LIVE WELL PSYCHOLOGY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIA HOLOVATYK PH.D. (PRESIDENT)
(424) 453-8089
Entity
Organization
Contact information
Practice address
11845 W OLYMPIC BLVD STE 1080W, LOS ANGELES, CA 90064-5023
(424) 453-8084
Mailing address
419 HILL ST APT 3, SANTA MONICA, CA 90405-4284
(330) 507-7441
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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