LIVE WELL CENTER LLC NPI 1154633907

NPI Information

  • NPI: 1154633907
  • Provider Name: LIVE WELL CENTER LLC
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 8 BIRCHWOOD CT
    UPPER SADDLE RIVER, NJ
    ZIP 07458
  • Phone: (201) 934-9467

Map and Directions

Get Directions

NPI Details

LIVE WELL CENTER LLC is an addiction (substance use disorder) psychologist in Upper Saddle River, NJ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. LIVE WELL CENTER LLC NPI is 1154633907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8 BIRCHWOOD CT
UPPER SADDLE RIVER, NJ
ZIP 07458-905
Phone: (201) 934-9467

The provider's authorized official is Luis Luna .
The authorized official title is Medical Director and has the following contact phone number (201) 934-9467.

The enumeration date for this NPI number is 7/9/2010 and was last updated on 7/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC1900XPsychologistCounseling35SI00415000NEW JERSEYNo
2207RA0401XInternal MedicineAddiction Medicine25MA07806100NEW JERSEYNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)35SI00415000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10140210MEDICAIDNEW JERSEY
2090662MEDICARE PINNEW JERSEY
3080853MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI