Organization Name: | LIVEWELL COUNSELING |
NPI Number: | 1629495106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMIE ELLEN POULIOT (CLINICAL MENTAL HEALTH COUNSELOR) |
Mailing Address: | 217 Old Homestead Hwy Suite I Swanzey |
State: | NH US |
Postal Code: | 034462140 |
Phone Number: | 6032096137 |
Fax Number: | 6034994455 |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |