Organization Active NPI

Live Well Community Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1811625734
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVE WELL COMMUNITY SERVICES
Practice address
2901 E Camelback Rd Ste 200
Phoenix, AZ 85016-4420
Phone
(480) 206-9323
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Noelle Gouvert
Title
Manager
Phone
(480) 206-9323

Specialties & licenses 1

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

Addresses

Primary practice location

2901 E Camelback Rd Ste 200
Phoenix, AZ 85016-4420

Mailing address

4214 N 45TH PL
Phoenix, AZ 85018-4309
Phone (480) 206-9323

National Provider Directory

National Provider Directory

Locations

2901 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (480) 206-9323

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1811625734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 N 45TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184309",
            "telephone_number": "480-206-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164420",
            "telephone_number": "480-206-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "GOUVERT",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-206-9323"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.