Organization Active NPI

Live Gentle Wellness, LLC

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
National Provider Identifier
1356643563
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVE GENTLE WELLNESS, LLC
Practice address
2752 E Worcester PL
Sioux Falls, SD 57108-4826
Phone
(605) 759-6080
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Ms. Dawn T Welch, LCSW, PI-P
Title
LCSW, Pi-P
Phone
(605) 759-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2752 E Worcester PL
Sioux Falls, SD 57108-4826

Mailing address

2752 E Worcester PL
Sioux Falls, SD 57108-4826
Phone (605) 759-6080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1356643563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 E WORCESTER PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084826",
            "telephone_number": "605-759-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 E WORCESTER PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084826",
            "telephone_number": "605-759-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE GENTLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LCSW, PI-P",
        "authorized_official_telephone_number": "605-759-6080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, PI-P"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.