Organization Active NPI

Living Loved Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
National Provider Identifier
1467928572
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVING LOVED CENTER
Practice address
169 Dauphin St Ste 304
Mobile, AL 36602-3271
Phone
(251) 415-6220
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Meredith SimmermanNPI 1285135160
Title
Owner
Phone
(251) 416-6220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

169 Dauphin St Ste 304
Mobile, AL 36602-3271

Mailing address

11708 Jeff Hamilton Rd
Mobile, AL 36695-8084

Other identifiers 1

IdentifierTypeStateIssuer
300013126MedicaidAL

National Provider Directory

National Provider Directory

Locations

169 Dauphin St
Ste 304
Mobile, AL 36602
Phone (251) 415-6220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1467928572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 JEFF HAMILTON RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DAUPHIN ST STE 304",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366023271",
            "telephone_number": "251-415-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LOVED CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SIMMERMAN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-416-6220"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013126",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.