Active NPI
Living Better Behavioral Health, LLC
- Community/Behavioral Health Agency
- Poplar Bluff, MO
National Provider Identifier
1790193506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2007025653
- Legal business name
- LIVING BETTER BEHAVIORAL HEALTH, LLC
- Practice address
- 2725 N Westwood Blvd
Suite 8
Poplar Bluff, MO 63901-2346 - Phone
- (573) 785-5224
- NPI assigned
- Jul 24, 2014
- Last updated
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Jane Moses, LCSW
- Title
- Owner, Social Worker
- Phone
- (573) 785-5224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2007025653 | MO | Primary |
Addresses
Primary practice location
2725 N Westwood Blvd
Suite 8
Poplar Bluff, MO 63901-2346
Mailing address
2725 N Westwood Blvd
Suite 8
Poplar Bluff, MO 63901-2346
Phone (573) 785-5224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073811139 | Medicaid | MO | |
| 1073811139 | Other | MO | NPI |
| 12320676 | Other | CAQH |
National Provider Directory
National Provider DirectoryLocations
1910 Greenwood Dr
Ste D
Poplar Bluff, MO 63901
Phone (573) 429-0787
2725 N Westwood Blvd
Ste 8
Poplar Bluff, MO 63901
Phone (573) 785-5224
502 Vine St
Poplar Bluff, MO 63901
Phone (573) 727-1210
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Poplar Bluff, MO
- NPI 1205168374
-
- Professional Counselor
- Poplar Bluff, MO
- NPI 1356533053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1790193506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 N WESTWOOD BLVD",
"address_2": "SUITE 8",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012346",
"telephone_number": "573-785-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 N WESTWOOD BLVD",
"address_2": "SUITE 8",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012346",
"telephone_number": "573-785-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING BETTER BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "OWNER, SOCIAL WORKER",
"authorized_official_telephone_number": "573-785-5224",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MO",
"license": "2007025653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073811139",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1073811139",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12320676",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.