Active NPI
Learning to Live Life, LLC
- Addiction (Substance Use Disorder) Counselor
- Waterbury, CT
National Provider Identifier
1194130112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000695
- Legal business name
- LEARNING TO LIVE LIFE, LLC
- Practice address
- 182 Grand St
Suite 420-422
Waterbury, CT 06702-1914 - Phone
- (203) 528-3054
- NPI assigned
- Jun 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarissa Garnett, LADC
- Title
- Chief Executive Officer
- Phone
- (860) 883-7062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000695 | CT | Primary |
Addresses
Primary practice location
182 Grand St
Suite 420-422
Waterbury, CT 06702-1914
Mailing address
182 Grand St
Suite 420-422
Waterbury, CT 06702-1914
Phone (203) 528-3054
National Provider Directory
National Provider DirectoryLocations
182 Grand St
Ste 420422
Waterbury, CT 06702
Phone (203) 528-3054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403913600000",
"number": "1194130112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 GRAND ST",
"address_2": "SUITE 420-422",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021914",
"telephone_number": "203-528-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 GRAND ST",
"address_2": "SUITE 420-422",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021914",
"telephone_number": "203-528-3054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEARNING TO LIVE LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-28",
"last_updated": "2014-06-28",
"status": "A",
"authorized_official_last_name": "GARNETT",
"authorized_official_first_name": "CLARISSA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "860-883-7062",
"authorized_official_credential": "LADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.