Live Well Coaching Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002207 Issued in CT

Legal business name

LIVE WELL COACHING INC

Practice address

269 Church Street
Hebron, CT 06248

Phone

(860) 465-7877

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By 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

Ms. Shannon Lynne Garthwait, MS, MCJ, LPCNPI 1922256502

Title

President/Owner

Phone

(860) 465-7877

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Lynne Garthwait, MS

  • Clinical Social Worker
  • Dayville, CT
  • NPI 1922256502
  NPD (past) Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1205180205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLUBHOUSE RD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062491615",
            "telephone_number": "860-465-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CHURCH STREET",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "06248",
            "telephone_number": "860-465-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COACHING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "GARTHWAIT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "860-465-7877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, MCJ, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Joudrey, LCSW
• Daniela La Rosa Karanda, APRN
• Julie Beth Kniess, N.D.
• Jeffrey M Kraman, D.D.S.
• Laura Landry, PHARM.D, RPH
• Manual Medicine of New England, LLC
• Deborah Manzano, PSY. D.
• Angela Jane Mawson, DC
• Kathleen Monroe, M.A. CCC-SLP
• Jessica Ann Montalvo, MD

• Professional Counselor in Hebron, CT
• Providers in Hebron, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.