Organization Active NPI

Living Forward

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1609687722
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVING FORWARD
Practice address
450 N Park Rd Ste 600
Hollywood, FL 33021-6918
Phone
(954) 591-5385
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Toula ZoulasNPI 1669984514
Title
Ceo
Phone
(954) 591-5385

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

450 N Park Rd Ste 600
Hollywood, FL 33021-6918

Mailing address

3722 Woodfield CT
Coconut Creek, FL 33073-2226
Phone (954) 591-5385

Other names 1

  • Living Forward LLC Doing business as

National Provider Directory

National Provider Directory

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": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1609687722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 WOODFIELD CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732226",
            "telephone_number": "954-591-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD STE 600",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216918",
            "telephone_number": "954-591-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FORWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "ZOULAS",
        "authorized_official_first_name": "TOULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-591-5385"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Forward LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Forward LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.