A Living Well Center, P.L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

940094 Issued in NC

Legal business name

A LIVING WELL CENTER, P.L.L.C.

Practice address

1623 York Ave
Suite 102
High Point, NC 27265-2311

Phone

(336) 307-4096

Fax

(336) 307-4098

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By 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

Mrs. Vickie S. Barkley, W.H.N.P.

Title

Member

Phone

(336) 307-4096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1780919431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652311",
            "telephone_number": "336-307-4096",
            "fax_number": "336-307-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652311",
            "telephone_number": "336-307-4096",
            "fax_number": "336-307-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIVING WELL CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "BARKLEY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-307-4096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "W.H.N.P."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "940094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in High Point, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.