Living Forward Therapies LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIVING FORWARD THERAPIES LLC

Practice address

3340 S Lincoln Blvd Ste 3
Marion, IN 46953-4501

Phone

(765) 661-9709

Fax

(765) 573-6769

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Amber Decker

Title

Owner

Phone

(765) 661-9709

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1538816004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 S LINCOLN BLVD STE 3",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534501",
            "telephone_number": "765-661-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 S LINCOLN BLVD STE 3",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534501",
            "telephone_number": "765-661-9709",
            "fax_number": "765-573-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FORWARD THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-661-9709"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Olivia Lingo, AU.D.
• Kelsey Lynn Lippens, LMT
• Jennifer Little
• Alexis Litton
• Living Forward ABA, LLC
• Molly Logan, RN
• Jo Ann Marie Long, RPH
• Melissa Sue Lora, MD
• Charion Love, RBT
• Earlene Love, NA

• Clinic/Center in Marion, IN
• Providers in Marion, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.