Provider Demographics
NPI:1265250740
Name:LIV WELL THERAPY
Entity type:Organization
Organization Name:LIV WELL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SEHRT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:701-330-9335
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:NORTHWOOD
Mailing Address - State:ND
Mailing Address - Zip Code:58267-0151
Mailing Address - Country:US
Mailing Address - Phone:701-330-9335
Mailing Address - Fax:
Practice Address - Street 1:453 37TH STREET NE
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:ND
Practice Address - Zip Code:58267
Practice Address - Country:US
Practice Address - Phone:701-330-9335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty