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ONLY LIVE LLC NPI 1750920435


NPI Information

NPI: 1750920435
Provider Name: ONLY LIVE, LLC

Doing Business As: SAGE COUNSELING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
145 NW CENTRAL PARK PLZ STE 107
PORT SAINT LUCIE, FL
ZIP 34986
Phone: (772) 678-9040
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ONLY LIVE, LLC is a clinical social worker in Port Saint Lucie, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ONLY LIVE, LLC NPI is 1750920435. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sage Counseling.

The provider's business location address is:

145 NW CENTRAL PARK PLZ STE 107
PORT SAINT LUCIE, FL
ZIP 34986-482
Phone: (772) 678-9040
Fax: (772) 673-0790

The provider's authorized official is Paul Matthew Bertolino .
The authorized official title is Executive Director, Ceo and has the following contact phone number (772) 678-9040.

The enumeration date for this NPI number is 12/30/2019 and was last updated on 4/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalYes

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: 4/28/2024

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