Organization
LIVEWELL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WORTMAN-SHEEHAN (OWNER)
(270) 783-8100
Entity
Organization
Contact information
Practice address
1011 LEHMAN AVE STE 106, BOWLING GREEN, KY 42103-6515
(270) 783-8100
Mailing address
1011 LEHMAN AVE STE 106, BOWLING GREEN, KY 42103-6515
(270) 783-8100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1016
KY
Other
Enumeration date
03/24/2008
Last updated
02/14/2018
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