Live Again Detox Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIVE AGAIN DETOX CENTER LLC

Practice address

1618 17TH Ave S
Nashville, TN 37212-2813

Phone

(615) 434-3081

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Justin Coggins

Title

Founder and Executive Director

Phone

(615) 434-3081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1669229332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122813",
            "telephone_number": "615-434-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122813",
            "telephone_number": "615-434-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE AGAIN DETOX CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "FOUNDER AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-434-3081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lin Liu, M.D./PH.D.
• Michelle Liu, PHARMD
• Natalia Han Gin Liu, MD
• Peter Liu, M.D.
• Wing Liu, PHARM.D.
• Megan Lively, PT
• Janice M Livengood, PHD, HSP
• Rhonda Livers, LPC-MHSP
• Stephanie Livesay
• Elizabeth Livingood, M.D.

• Substance Abuse Rehabilitation Facility in Nashville, TN
• Providers in Nashville, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.