LIVING WELL MENTAL HEALTH CLINIC LLC
NPI 1013413657
Psychologist - Clinical in Owen, WI

Active since April 03, 2018
112 N CENTRAL AVE, OWEN, WI 54460(715) 313-4748(715) 229-0331 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Jun 22, 2018 (2 updates tracked since 2018).

About Living Well Mental Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WELL MENTAL HEALTH CLINIC LLC (NPI 1013413657) is a healthcare organization registered as a clinical in Owen, Wisconsin and active in the NPI registry since April 2018. The organization lists Becca Greub, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1013413657
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIVING WELL MENTAL HEALTH CLINIC LLC
Location Address112 N CENTRAL AVEOwen, WI 54460
Mailing AddressPo Box 65Owen, WI 54460-0065 · (715) 229-0330 · Fax (715) 229-0331
Fax(715) 229-0331
Organization SubpartNo
Authorized OfficialBecca GreubClinical Psychologist · (715) 313-4748
Enumeration DateApril 3, 2018
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1013413657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
112 N CENTRAL AVE, Owen, WI 54460

Other Identifiers 4

Medicaid1548793235WI
Medicaid1720477182WI
MedicaidK400340967WI
Medicaid1184002560WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
112 N CENTRAL AVE
OWEN, WI 54460
Counselor (Mental Health)
112 N CENTRAL AVE
OWEN, WI 54460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Well Mental Health Clinic LLC's NPI number?

The NPI number for Living Well Mental Health Clinic LLC is 1013413657. It was assigned to this organization in the NPPES registry on April 3, 2018.

Where is Living Well Mental Health Clinic LLC located?

Living Well Mental Health Clinic LLC is located at 112 N Central Ave, Owen, WI 54460. The listed phone number is (715) 313-4748.

What is Living Well Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Living Well Mental Health Clinic LLC was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.