Organization
LIVEWELL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PACE LPC (OWNER)
(804) 464-8420
Entity
Organization
Contact information
Practice address
221 RUTHERS RD STE 101, NORTH CHESTERFIELD, VA 23235-5395
(804) 464-8420
Mailing address
13926 HULL STREET RD # 2025, MIDLOTHIAN, VA 23112-2004
(804) 464-8420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
09/09/2021
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