Living Sober LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVING SOBER LLC

Practice address

885 SE 6TH Ave
Suite H
Delray Beach, FL 33483-5184

Phone

(561) 272-9404

Fax

(561) 272-9678

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Stefanie Rae Tucker, BS

Title

Director of Operations

Phone

(561) 272-9404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1154723815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SE 5TH ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834442",
            "telephone_number": "561-272-9404",
            "fax_number": "561-272-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SE 6TH AVE",
            "address_2": "SUITE H",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835184",
            "telephone_number": "561-272-9404",
            "fax_number": "561-272-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SOBER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "561-272-9404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Little, PHARMD
• Audrey Liu, M.D.
• Christina Liu, D.D.S.
• Shuo Shawn Liu, MD; PHD
• Live Beyond Medical MGMT LLC
• David Livingston, D.C.
• Liz Newman Wellness
• LMC Ideal Medical Billing
• Seth Elburn Lobdell, PH.D., LCSW
• Angelo Locastro, PT

• Community/Behavioral Health Agency in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.