Live Well Behavioral Medicine P.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIVE WELL BEHAVIORAL MEDICINE P.C.

Practice address

4390 Earney Rd Ste 140
Woodstock, GA 30188-5687

Phone

(678) 568-2285

Fax

(706) 553-4157

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamarri Rollocks, LPCNPI 1033688403

Title

Owner

Phone

(404) 944-9425

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamarri M Rollocks, CAADC, MATS, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1033688403

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1770204349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 KENNESTONE CIR STE D109",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666097",
            "telephone_number": "404-944-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 EARNEY RD STE 140",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885687",
            "telephone_number": "678-568-2285",
            "fax_number": "706-553-4157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Kennestone Cir Ste D109",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300666097",
            "country_code": "US",
            "telephone_number": "470-819-1311",
            "fax_number": "678-250-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE WELL BEHAVIORAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "ROLLOCKS",
        "authorized_official_first_name": "JAMARRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-944-9425",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Limitless Disability Services
• Tanja Krutina Lindsey, M.D.
• Stephanie E Lionbarger, PHARMD
• Michelle Annette Little, BS, RBT
• Sarah Littlebear
• Joseph Liverman
• Charity Charissa Livingston
• Kristin L Lloyd, PHD, LPC
• Sarah-Margaret Locke, PT, DPT
• Robin Loe, MD

• Psychiatric/Mental Health Nurse Practitioner in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.