Living Well Counseling Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C007345 Issued in NC

Legal business name

LIVING WELL COUNSELING SERVICE

Practice address

7312 Hihenge CT
7
Raleigh, NC 27615-4313

Phone

(313) 410-1871

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Eboni Affum, LCSW

Title

Chief Executive Officer

Phone

(313) 410-1871

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1821479080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 HIHENGE CT",
            "address_2": "7",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 HIHENGE CT",
            "address_2": "7",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154313",
            "telephone_number": "313-410-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "AFFUM",
        "authorized_official_first_name": "EBONI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-410-1871",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C007345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982913398",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living & Learning Together, LLC
• Living Forward PLLC
• Living Soul of North Carolina ABA
• Living Waters Counseling and Wellness Center PLLC
• Living Well Balanced, P.C.
• Living Well Enterprises, LLC
• Living Well International Center, PC
• Living With Autism Inc
• Living With Autisum
• Aundria Living

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.