LIVE WELL RVA NPI 1649189465

NPI Information

  • NPI: 1649189465
  • Provider Name: LIVE WELL RVA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 15527 COSBY RD
    CHESTERFIELD, VA
    ZIP 23832
  • Phone: (804) 689-3878

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NPI Details

LIVE WELL RVA is a clinic center in Chesterfield, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LIVE WELL RVA NPI is 1649189465. The provider is registered as an organization entity type.

The provider's business location address is:

15527 COSBY RD
CHESTERFIELD, VA
ZIP 23832-175
Phone: (804) 689-3878

The provider's authorized official is Jesse Henby .
The authorized official title is Owner and has the following contact phone number (804) 955-7879.

The enumeration date for this NPI number is 9/7/2026 and was last updated on 9/7/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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