NPI 1275076374

Live.Well LLC

Organisation Community/Behavioral Health Agency Fairmont, WV

Practice location

Address: 517 Fairmont Ave, Fairmont, WV 26554-5101
Phone: (304) 612-8860
Mailing address: 1 Hidden Trl, Fairmont, WV 26554-8822

Authorised official

Name: Denise Tonkin
Title: Owner
Phone: (304) 612-8860

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2008 (WV)

Other Community/Behavioral Health providers in West Virginia →

Registry record

NPI: 1275076374
Entity type: Organization
NPI issued: 22 Nov 2016
Record last updated: 22 Nov 2016

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.