Organization
LIVE WELL HEALTH LLC
Active
Organization
LIVE WELL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SISSY TEZERA DC (OWNER)
(248) 809-2094
Entity
Organization
Contact information
Practice address
15565 NORTHLAND DR, SUITE 103W-B, SOUTHFIELD, MI 48075
(248) 809-2094
Mailing address
15565 NORTHLAND DR, SUITE 103W-B, SOUTHFIELD, MI 48075
(248) 809-2094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up