Active Living LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ACTIVE LIVING LLC

Practice address

503 W Church Ave
Suite a
Medina, TN 38355-8769

Phone

(731) 783-1975

Fax

(731) 723-1148

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Joan G Arnold, LPC

Title

Owner

Phone

(731) 783-1975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487686879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383550444",
            "telephone_number": "731-783-1975",
            "fax_number": "731-723-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W CHURCH AVE",
            "address_2": "SUITE A",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383558769",
            "telephone_number": "731-783-1975",
            "fax_number": "731-723-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-783-1975",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Baldwin, PHARMD
• Shaun Barrios, PT
• Jordan Baudo
• Christian Care Center of Milan, LLC (Christian Care Center of Medina)
• Joshua Aaron Exline, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.