Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Live Well Healthcare PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1912612904

Live Well Healthcare PLLC is a Psychiatric/Mental Health Nurse Practitioner in Ashburn, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Phone: (571) 931-2533
Fax: (571) 365-7530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1912612904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enyonam Jordan-Brangman — Nurse Practitioner · (571) 247-4434
NPI enumeratedJanuary 16, 2023
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905

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