NPI 1225395023
Livewise LLC
Practice location
- Address
- 103 Englewood Dr, Bardstown, KY 40004-2520
- Phone
- (502) 510-3630
Authorised official
- Name
- Jay Anthony Hall
- Title
- Owner
- Phone
- (502) 510-3630
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1225395023
- Entity type
- Organization
- NPI issued
- 18 Apr 2012
- Record last updated
- 18 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.