Organization Active NPI

Live Consciously, PLLC

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1194548719
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE CONSCIOUSLY, PLLC
Practice address
4403 Colonel Dr
Killeen, TX 76549-0069
Phone
(713) 382-0884
NPI assigned
Nov 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Authorized official

Name
Alexandrea LongNPI 1912618950
Title
Fonder
Phone
(713) 382-0884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4403 Colonel Dr
Killeen, TX 76549-0069

Mailing address

4403 Colonel Dr
Killeen, TX 76549-0069
Phone (713) 382-0884

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1194548719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 COLONEL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765490069",
            "telephone_number": "713-382-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 COLONEL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765490069",
            "telephone_number": "713-382-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE CONSCIOUSLY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ALEXANDREA",
        "authorized_official_title_or_position": "FONDER",
        "authorized_official_telephone_number": "713-382-0884"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.