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LIVE WELL LLC
NPI 1093563645
Nurse Practitioner - Psychiatric/Mental Health in East Hartford, CT

Active since May 08, 2024
1331 BURNSIDE AVE APT A4, EAST HARTFORD, CT 06108(240) 408-0736 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Live Well Llc NPPES

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

LIVE WELL LLC (NPI 1093563645) is a healthcare organization registered as a psychiatric/mental health in East Hartford, Connecticut and active in the NPI registry since May 2024. The organization lists Theresa Antwi, Aprn, as its authorized official.

NPPES Registry Identity

NPI1093563645
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVE WELL LLC
Location Address1331 BURNSIDE AVE APT A4East Hartford, CT 06108-1577
Mailing Address304 W Main St Ste 2Avon, CT 06001-4355 · (240) 408-0736
Phone(240) 408-0736
Organization SubpartNo
Authorized OfficialTheresa AntwiAprn · (240) 408-0736
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1093563645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1331 BURNSIDE AVE APT A4, East Hartford, CT 06108
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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

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

THERESA ANTWI
Nurse Practitioner (Psychiatric/Mental Health)
1331 BURNSIDE AVE APT A4
EAST HARTFORD, CT 06108
Capitol Planning Region (240) 408-0736

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 Live Well LLC's NPI number?

The NPI number for Live Well LLC is 1093563645. It was assigned to this organization in the NPPES registry on May 8, 2024.

Where is Live Well LLC located?

Live Well LLC is located at 1331 Burnside Ave Apt A4, East Hartford, CT 06108. The listed phone number is (240) 408-0736.

What is Live Well LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Live Well LLC was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.