A Life You Love LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10834 Issued in FL

Legal business name

A LIFE YOU LOVE LLC

Practice address

577 NW 120TH Dr
Coral Springs, FL 33071-4029

Phone

(954) 226-9671

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By 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

Stacey Mednick, LCSWNPI 1548687478

Title

Founder / Therapist

Phone

(954) 226-9671

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.

• Stacey Mednick, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1548687478
  NPD (past) Authorized official

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1346660057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 NW 120TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714029",
            "telephone_number": "954-226-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 NW 120TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714029",
            "telephone_number": "954-226-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIFE YOU LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "MEDNICK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "FOUNDER / THERAPIST",
        "authorized_official_telephone_number": "954-226-9671",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.