Living and Learning Youth Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVING AND LEARNING YOUTH CENTER

Practice address

1486 Dr Martin Luther King Jr Blvd
Warrenton, NC 27589-9169

Phone

(252) 481-2282

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Isaac Blount

Title

Consulting

Phone

(252) 481-2282

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1316539208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 DR MARTIN LUTHER KING JR BLVD",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275899169",
            "telephone_number": "252-481-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 DR MARTIN LUTHER KING JR BLVD",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275899169",
            "telephone_number": "252-481-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING AND LEARNING YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CONSULTING",
        "authorized_official_telephone_number": "252-481-2282"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmer Wood King Jr.
• Melissa Kaye Lawson, COTA/L
• Legacy Human Services, Inc.
• Lifestyle Home Care LLC
• Lite Touch Massage Care LLC
• Faye Weldon Lynch, RN PNP
• Winnie Makumire, RN
• Melanie Marino, PTA
• Stephanie Wood Maxbauer, PHARMD
• Maxim Habilitation Services, LLC

• Community/Behavioral Health Agency in Warrenton, NC
• Providers in Warrenton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.