Live Well LLC
NPI #1093563645 in East Hartford, Connecticut
Provider Information
- NPI Number
- 1093563645
- Entity Type
- Organization
- Organization Name
- Live Well LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 8, 2024
- Last Updated
- May 8, 2024
Practice Location
- Address
- 1331 BURNSIDE AVE APT A4
- City
- East Hartford
- State
- Connecticut
- ZIP Code
- 06108-1577
- Phone
- (240) 408-0736
Authorized Official
- Name
- THERESA ANTWI, PMHNP
- Title
- APRN
- Phone
- (240) 408-0736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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