Living Anew Wellness Center, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11591 Issued in NC

Legal business name

LIVING ANEW WELLNESS CENTER, PLLC

Practice address

1830 Owen Dr
Suite 10
Fayetteville, NC 28304-1611

Phone

(910) 745-8712

Fax

(910) 705-8447

NPI assigned

Jun 19, 2015

Last updated

Apr 24, 2017By 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

Mrs. Dawn Staten Drakeford, LPC, LCASA, CCDVC

Title

Licensed Professional Counselor

Phone

(910) 728-5980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1437531043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42242",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283092242",
            "telephone_number": "910-578-0232",
            "fax_number": "910-705-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR",
            "address_2": "SUITE 10",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041611",
            "telephone_number": "910-745-8712",
            "fax_number": "910-705-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ANEW WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "DRAKEFORD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "STATEN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "910-728-5980",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LCASA, CCDVC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "11591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, 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 Apr 24, 2017; 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.