Active NPI
Live Well Community Services
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1811625734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Live Well Assisted Living LLC (Live Well Residential Care)
- Live Well Assisted Living LLC (Live Well Residential Care)
- Live Well Assisted Living LLC (Live Well Residential Care)
- Live Well Assisted Living LLC (Live Well Residential Care)
- Live Well Care Services LLC
- Lived Joys LLC
- Elizabeth Livengood-Anderson, NMD
- Dalen Brown Livesay, LMSW
- Lynette Livesay, PSYD
- Madilyn Livesay, RBT
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.