Max-Well Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAX-WELL THERAPY

Doing business as

Max-Well Therapy

Practice address

6114 Rickwood Dr NW
Huntsville, AL 35810-2576

Phone

(601) 896-5363

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Lilly Nelson Maxwell, LICSW, MSW, BHSCNPI 1588963110

Title

Ceo

Phone

(601) 896-5363

Specialties & licenses 1

Addresses

Other names 2

• Max-Well Therapy Doing business as
• Living Light Holistic Counseling Former legal business name

Tax ID family

Living Light Holistic Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Living Light Holistic Counseling

  • Community Health Clinic/Center
  • Huntsville, AL
  • NPI 1770232928
  NPD tax ID

Practitioners 1

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

• Lilly Jacqueline Nelson Maxwell, LICSW, LPN MAS

  • Clinical Social Worker
  • Huntsville, AL
  • NPI 1588963110
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1306595376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 SW 54TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768694",
            "telephone_number": "352-679-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 RICKWOOD DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358102576",
            "telephone_number": "601-896-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX-WELL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "NELSON  MAXWELL",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-896-5363",
        "authorized_official_credential": "LICSW, MSW, BHSC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max-Well Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Light Holistic Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark Thomas Matzek, PT
• Miller Matzek, DPT
• Caroline Makey Mauldin, CRNP
• Jessica Dawn Maulick, PHARMD
• Max Health, LLC
• Maxillofacial Surgery Center of Huntsville, Inc.
• David Randall Maxwell
• Jazmine Maxwell, MSW
• Lyndell Maxwell, MSW
• Carol P May, PHARMD

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.