Living Free Recovery, PLLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

02805 Issued in KY

Legal business name

LIVING FREE RECOVERY, PLLC

Practice address

400 University Dr
Prestonsburg, KY 41653-1080

Phone

(606) 886-0224

Fax

(606) 886-9908

NPI assigned

Oct 5, 2016

Organization subpart

Yes

Parent organization

HOMETOWN FAMILY CARE, PLLCAs reported in NPPES

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

Authorized official

Name

Mary Fairchild

Title

Billing Manager

Phone

(606) 886-0224

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Hometown Family Care PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hometown Family Care PLLC

  • Family Medicine Physician
  • Prestonsburg, KY
  • NPI 1184793986
  NPPES parent name

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1255881033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416535810",
            "telephone_number": "606-886-0224",
            "fax_number": "606-886-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531080",
            "telephone_number": "606-886-0224",
            "fax_number": "606-886-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FREE RECOVERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN FAMILY CARE, PLLC",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "606-886-0224"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02805",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "02805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64061328",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Little
• Lafarrah Little
• Melody Little
• Mikayla Little
• Laura Livesay
• Laurinda Logsdon, LPCC
• Taylor Longstreth
• Angel Looney
• Jennifer Ann Looney, BS/PE
• Jordyn Looney

• Addiction Medicine (Family Medicine) Physician in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Addiction Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.