Organization Active NPI

Live Well Counseling Solutions, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1083164826
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVE WELL COUNSELING SOLUTIONS, PLLC
Practice address
3613 Hastings Dr
Fayetteville, NC 28311-7606
Phone
(910) 703-7509
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Whitfield-Williams
Title
Owner
Phone
(910) 703-7509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

3613 Hastings Dr
Fayetteville, NC 28311-7606

Mailing address

2543 Ravenhill Dr
Suite a
Fayetteville, NC 28303-9618
Phone (910) 703-7509

National Provider Directory

National Provider Directory

Locations

2543 Ravenhill Dr
Ste A
Fayetteville, NC 28303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1083164826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 RAVENHILL DR",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283039618",
            "telephone_number": "910-703-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 HASTINGS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117606",
            "telephone_number": "910-703-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD-WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-703-7509"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.