Organization Active NPI

Living Better Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Poplar Bluff, MO
National Provider Identifier
1790193506
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2007025653 Issued in MO
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1073811139MedicaidMO
1073811139OtherMONPI
12320676OtherCAQH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.