Active NPI
Live Well Therapy, LLC
- Marriage & Family Therapist
- Boulder, CO
National Provider Identifier
1619368362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- LIVE WELL THERAPY, LLC
- Practice address
- 350 Broadway St Ste 205
Boulder, CO 80305-3338 - Phone
- (720) 630-4006
- NPI assigned
- Feb 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uyen Bui-Anderson, LMFT, LPC
- Title
- Ceo
- Phone
- (720) 630-4006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
350 Broadway St Ste 205
Boulder, CO 80305-3338
Mailing address
350 Broadway St Ste 205
Boulder, CO 80305-3338
Phone (720) 630-4006
National Provider Directory
National Provider DirectoryLocations
350 Broadway St
Ste 205
Boulder, CO 80305
Phone (303) 494-5226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1619368362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BROADWAY ST STE 205",
"city": "BOULDER",
"state": "CO",
"postal_code": "803053338",
"telephone_number": "720-630-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BROADWAY ST STE 205",
"city": "BOULDER",
"state": "CO",
"postal_code": "803053338",
"telephone_number": "720-630-4006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE WELL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "BUI-ANDERSON",
"authorized_official_first_name": "UYEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-630-4006",
"authorized_official_credential": "LMFT, LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.