Organization
LIV'D WELLNESS COUNSELING
Active
Other names
Neurofeedback Wellness Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHANNON LCSW (PSYCHOTHERAPIST AND NEUROFEEDBACK T)
(859) 539-0312
Entity
Organization
Contact information
Practice address
620 EUCLID AVE STE 208, LEXINGTON, KY 40502-6429
(859) 539-0312
Mailing address
4605 HONEYCOMB TRL, LEXINGTON, KY 40509-9046
(859) 539-0312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
07/26/2024
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