Live Life Well, LLC

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

LIVE LIFE WELL, LLC

Practice address

424 E Central Blvd
378
Orlando, FL 32801-1923

Phone

(713) 385-0782

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Bettina B Bourda, OTR/L

Title

Occupational Therapist

Phone

(713) 385-0782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1194073544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E CENTRAL BLVD",
            "address_2": "378",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E CENTRAL BLVD",
            "address_2": "378",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011923",
            "telephone_number": "713-385-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "BOURDA",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "713-385-0782",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenghsi Kimberly Liu, D.OM
• Xinqiang Liu
• Ying Liu, APRN
• Steven Cole Liuzza
• Juan Francisco Liuzzi Stamerra, MD
• Live Love Life, Inc
• Live Well Medical Centers LLC
• Dino Liverano, LMHC
• Doreen Livers
• Livewell Counseling Group

• Mental Health Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.