Live Young, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

M1286 Issued in TX

Legal business name

LIVE YOUNG, PA

Practice address

7515 Greenville Ave
Suite 1005
Dallas, TX 75231-3831

Phone

(214) 369-8717

Fax

(214) 369-7937

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Pastorek, M.D.

Title

Founder

Phone

(214) 369-8717

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrea Kyprianou

  • Professional Counselor
  • Dallas, TX
  • NPI 1508252925
  NPD (past)
• Mary Zingas Kyprianou, PH.D., BCB

  • Naturopath
  • Dallas, TX
  • NPI 1730489626
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1497137830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "SUITE 1005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "214-369-8717",
            "fax_number": "214-369-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "SUITE 1005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "214-369-8717",
            "fax_number": "214-369-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE YOUNG, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "PASTOREK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "214-369-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "M1286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liv Center for Reproductive Healing
• Live More Simply, Inc
• Live More Simply, Inc
• Live Oak OBGYN, LLP
• Live Well MD PA
• Mary Michelle Lively, NP-C
• Timothy Warren Livengood II, M.D.
• Liver Center of Texas, PLLC
• Raymond Eugene Liverman Jr., D.C.
• Melissa Irene Livermore, PA-C

• Adult Mental Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.