Living Bread, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5459 Issued in SC

Legal business name

LIVING BREAD, INC.

Practice address

7 Pettigru St
Greenville, SC 29601-3028

Phone

(864) 660-9407

NPI assigned

Apr 11, 2013

Last updated

Jun 11, 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

Mrs. Ella Walker Henderson, M.A., LPCNPI 1811277593

Title

Executive Director

Phone

(864) 660-9407

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.

• Ella Walker Henderson, M.A.P.C., LPC

  • Professional Counselor
  • Greenville, SC
  • NPI 1811277593
  NPD (past) Authorized official

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1447693205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9371",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296049371",
            "telephone_number": "864-660-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PETTIGRU ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013028",
            "telephone_number": "864-660-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING BREAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-660-9407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Little
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• Alyssa Cherise Livanos, MA
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• Grace Udofa Gamble Livingston, APRN
• Jennifer Brooke Livingston
• Marie Elaine Livingston
• Theron Ross Livingston, PT, DPT
• Livingtree Wellness Collective

• Professional Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Professional Counselor in South Carolina

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