Organization
LIVE WELL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS LUNA M.D. (MEDICAL DIRECTOR)
(201) 934-9467
Entity
Organization
Contact information
Practice address
8 BIRCHWOOD CT, UPPER SADDLE RIVER, NJ 07458-1905
(201) 934-9467
Mailing address
8 BIRCHWOOD CT, UPPER SADDLE RIVER, NJ 07458-1905
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
35SI00415000
NJ
103TC1900X
Counseling Psychologist
35SI00415000
NJ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
25MA07806100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140210
—
NJ
Enumeration date
07/09/2010
Last updated
07/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us