Livewell Therapy Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP4688 Issued in MD

Legal business name

LIVEWELL THERAPY SERVICES, LLC

Practice address

7520 Main St
Suite 101
Sykesville, MD 21784-7525

Phone

(443) 842-6200

Fax

(443) 842-6200

NPI assigned

Mar 17, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey Rose Scheerer, M.ED., NCC, LGPC

Title

Owner

Phone

(443) 842-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1689916645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MAIN ST",
            "address_2": "SUITE 101",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847525",
            "telephone_number": "443-842-6200",
            "fax_number": "443-842-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MAIN ST",
            "address_2": "SUITE 101",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847525",
            "telephone_number": "443-842-6200",
            "fax_number": "443-842-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHEERER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-842-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., NCC, LGPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.