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LIVE WELL LIFE CENTER NPI 1922389691


NPI Information

NPI: 1922389691
Provider Name: LIVE WELL LIFE CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1893 DOVONSHIRE RD SW
MARIETTA, GA
ZIP 30064
Phone: (404) 748-2778
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LIVE WELL LIFE CENTER is a community behavioral health in Marietta, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIVE WELL LIFE CENTER NPI is 1922389691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1893 DOVONSHIRE RD SW
MARIETTA, GA
ZIP 30064-078
Phone: (404) 748-2778

The provider's authorized official is Bernice Williams .
The authorized official title is Christian Counselor and has the following contact phone number (404) 748-2778.

The enumeration date for this NPI number is 9/7/2011 and was last updated on 7/13/2012.


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
1101YP1600XCounselorPastoralNo
2251B00000XCase ManagementNo
3251V00000XVoluntary or CharitableNo
4253Z00000XIn Home Supportive CareNo
51041C0700XSocial WorkerClinicalNo
6251J00000XNursing CareNo
7251S00000XCommunity/Behavioral HealthYes

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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