Provider Demographics
NPI:1396351714
Name:LIVE YOU WELL LLC
Entity type:Organization
Organization Name:LIVE YOU WELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CASHMAN
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-935-8450
Mailing Address - Street 1:71 WATER WAY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4760
Mailing Address - Country:US
Mailing Address - Phone:401-935-8450
Mailing Address - Fax:
Practice Address - Street 1:1 RICHMOND SQ STE 132C
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5140
Practice Address - Country:US
Practice Address - Phone:401-935-8450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty