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LIVE LIFE FULL LLC NPI 1861913741


NPI Information

NPI: 1861913741
Provider Name: LIVE LIFE FULL LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 49D2292510

Address:
116 E BLAKE LN
RICHMOND, VA
ZIP 23224
Phone: (804) 939-9904
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LIVE LIFE FULL LLC is a counselor in Richmond, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. LIVE LIFE FULL LLC NPI is 1861913741. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

116 E BLAKE LN
RICHMOND, VA
ZIP 23224-914
Phone: (804) 939-9904

The provider's authorized official is Danielle Janes Yates .
The authorized official title is Owner and has the following contact phone number (804) 939-9904.

The CLIA number assigned to this NPI record is 49D2292510 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2017 and was last updated on 7/21/2022.


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
1101Y00000XCounselorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.