Organization
LIVWELL ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS HINES LCSW (OWNER)
(601) 940-6292
Entity
Organization
Contact information
Practice address
1319 SPRINGDALE DR, JACKSON, MS 39211-3226
(601) 940-6292
Mailing address
1319 SPRINGDALE DR, JACKSON, MS 39211-3226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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