The Village Life Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE VILLAGE LIFE CENTER, LLC

Practice address

58155 Chinn St Ste B
Plaquemine, LA 70764-3601

Phone

(225) 385-4543

Fax

(866) 825-9703

NPI assigned

Jun 13, 2014

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ayanna Carr

Title

Ceo

Phone

(919) 723-8799

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1144634528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 FALLS OF NEUSE RD STE 138",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152435",
            "telephone_number": "919-723-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58155 CHINN ST STE B",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643601",
            "telephone_number": "225-385-4543",
            "fax_number": "866-825-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9660 Falls Of Neuse Rd",
            "address_2": "Suite 138, # 273",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276152473",
            "country_code": "US",
            "telephone_number": "919-723-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE VILLAGE LIFE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-723-8799"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.