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

Livewell Behavioral Health

Organization Clinical Psychologist · NPI 1164293171

Livewell Behavioral Health is a Clinical Psychologist in Woodbridge, Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2135 Abbottsbury Way
Woodbridge, VA 22191-4098
Phone: (202) 277-9687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1164293171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanisha Bracey — Owner/Clinical Psychologist · (202) 277-9687
NPI enumeratedJanuary 10, 2024
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 1, 2024
Mailing address15000 Potomac Town Pl, Suite 100, 506, Woodbridge, VA 22191

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