Living in Full Excellence

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVING IN FULL EXCELLENCE

Practice address

232 Market St
Jackson, MS 39232-3339

Phone

(910) 229-4387

NPI assigned

Sep 7, 2015

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Latasha Michelle Bethea

Title

Chief Executive Officer/Owner

Phone

(910) 229-4387

Specialties & licenses 1

Addresses

Tax ID family

Living in Full Excellence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Living in Full Excellence

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1821444191
  NPD tax ID

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1619345766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NORTH ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014413",
            "telephone_number": "910-853-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "910-229-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING IN FULL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/OWNER",
        "authorized_official_telephone_number": "910-229-4387",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Blake Littlejohn, MD
• Huiling Liu, MD
• Langfeier Liu
• Live Oak Psychological Associtaes
• Live Oaks Counseling and Consulting, LLC
• Living Independence for Everyone of Mississippi (LIFE of Mississippi)
• Ladean Johnson Livingston Davis, CRNA
• Darrell Rex Livingston Jr., DMD
• Harold Mark Livingston, D.D.S.
• Livwell Alliance, LLC

• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.