Living Legacy, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LIVING LEGACY, INC.

Practice address

5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014

Phone

(901) 672-7857

Fax

(615) 658-4559

NPI assigned

Apr 2, 2009

Last updated

Feb 19, 2021By 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

Dr. Selena Nicole Smith, PH.D., LAPSW,LADACIINPI 1962549733

Title

Director

Phone

(901) 672-7857

Specialties & licenses 3

Addresses

Locations

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.

• Selena Nicole Smith, LAPSW, LADACII, PH.D

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1962549733
  NPD Authorized official

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1447492699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-672-7857",
            "fax_number": "615-658-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-672-7857",
            "fax_number": "615-658-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LEGACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-672-7857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LAPSW,LADACII"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TN",
            "license": "LMSW0000006120",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Livesay, OD
• Livin Holistic Wellness Spa
• Living by Grace LLC
• Living in Comfort Home Care, Inc
• Living Legacy Senior Services LLC
• Leon Livingston, MD
• Livitup, Inc
• Kenny Y Llanes, LCSW
• Crystal N Lloyd, BA
• Rick J Lloyd, MSN FNP C

• Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Counselor in Tennessee

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