LIVEWELL BEHAVIORAL HEALTH
NPI 1164293171
Psychologist - Clinical in Woodbridge, VA

Q: What is Livewell Behavioral Health's NPI number?

The NPI number for Livewell Behavioral Health is 1164293171. It was assigned to this organization in the NPPES registry on January 10, 2024.

Q: What is Livewell Behavioral Health's specialty?

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

Active since January 10, 2024

2135 ABBOTTSBURY WAY, WOODBRIDGE, VA 22191(202) 277-9687 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Livewell Behavioral Health NPPES

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

LIVEWELL BEHAVIORAL HEALTH (NPI 1164293171) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since January 2024. The organization lists Tanisha Bracey, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1164293171

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLIVEWELL BEHAVIORAL HEALTH

Location Address2135 ABBOTTSBURY WAYWoodbridge, VA 22191-4098

Mailing Address15000 Potomac Town Pl, Suite 100, #506Woodbridge, VA 22191

Phone(202) 277-9687

Organization SubpartNo

Authorized OfficialTanisha BraceyOwner/clinical Psychologist · (202) 277-9687

Enumeration DateJanuary 10, 2024

NPPES CertifiedJanuary 1, 2024

✔ NPI 1164293171 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.

2135 ABBOTTSBURY WAY, Woodbridge, VA 22191

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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 Livewell Behavioral Health's NPI number?

The NPI number for Livewell Behavioral Health is 1164293171. It was assigned to this organization in the NPPES registry on January 10, 2024.

Where is Livewell Behavioral Health located?

Livewell Behavioral Health is located at 2135 Abbottsbury Way, Woodbridge, VA 22191. The listed phone number is (202) 277-9687.

What is Livewell Behavioral Health'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 Livewell Behavioral Health was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.