Organization Active NPI

Live Life Counseling Center

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1669903316
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67960 Issued in TX
Legal business name
LIVE LIFE COUNSELING CENTER
Practice address
1015 Pennsylvania Ave
Suite 7
Fort Worth, TX 76104-2259
Phone
(817) 405-9503
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
La'Morra Cornelius, LPC
Title
Owner
Phone
(682) 472-6607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 67960 TX Primary

Addresses

Primary practice location

1015 Pennsylvania Ave
Suite 7
Fort Worth, TX 76104-2259

Mailing address

1608 Ridge Haven Dr
#321
Arlington, TX 76011-9058

National Provider Directory

National Provider Directory

Locations

1015 Pennsylvania Ave
Ste 7
Fort Worth, TX 76104
Phone (682) 312-9820

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1669903316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 RIDGE HAVEN DR",
            "address_2": "#321",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760119058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 PENNSYLVANIA AVE",
            "address_2": "SUITE 7",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042259",
            "telephone_number": "817-405-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "LA'MORRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-472-6607",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.