Living at Peace, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVING AT PEACE, PLLC

Practice address

121 S 2ND St
Saint Pauls, NC 28384-1507

Phone

(910) 496-5450

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Marie Matthews, MSW, LCSWA, CCSOTSNPI 1043791239

Title

Director/Owner

Phone

(910) 496-5450

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry Matthews

  • Clinical Social Worker
  • Lumber Bridge, NC
  • NPI 1043791239
  NPD Authorized official

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1679177497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 NC HIGHWAY 20",
            "city": "LUMBER BRIDGE",
            "state": "NC",
            "postal_code": "283578033",
            "telephone_number": "910-496-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 2ND ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841507",
            "telephone_number": "910-496-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING AT PEACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-496-5450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSWA, CCSOTS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Saint Pauls, NC
• Providers in Saint Pauls, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.