Organization Active NPI

Living to Be Free, PLLC

  • Community/Behavioral Health Agency
  • West End, NC
National Provider Identifier
1710263306
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8093 Issued in NC
Legal business name
LIVING TO BE FREE, PLLC
Practice address
4415 Murdocksville Rd
West End, NC 27376-8899
Phone
(910) 315-4909
Fax
(910) 420-2202
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Sabrina Leigh Whitaker, LPC
Title
Owner
Phone
(910) 315-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8093 NC Primary

Addresses

Primary practice location

4415 Murdocksville Rd
West End, NC 27376-8899

Mailing address

4415 Murdocksville Road
West End, NC 27376
Phone (910) 315-4909

Other identifiers 1

IdentifierTypeStateIssuer
6104605MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1710263306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 MURDOCKSVILLE ROAD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "27376",
            "telephone_number": "910-315-4909",
            "fax_number": "910-420-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 MURDOCKSVILLE RD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768899",
            "telephone_number": "910-315-4909",
            "fax_number": "910-420-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING TO BE FREE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-315-4909",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104605",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West End, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.