Living Well Management, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIVING WELL MANAGEMENT, INC

Practice address

3601 W Commercial Blvd
Fort Lauderdale, FL 33309-3300

Phone

(954) 560-5238

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Joel Quintero

Title

Ceo

Phone

(954) 909-0407

Specialties & licenses 2

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Living Well Management, Inc

  • Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1134782154
  NPPES parent name

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1831655406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 21",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093320",
            "telephone_number": "954-909-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-560-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-909-0407"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TSZ Fei Liu
• Live Anew Day LLC
• John Russell Livengood, M.D.
• Living Water Wellness Center, LLC
• Living Well Management, Inc
• Living Well Pharmacy
• Kenneth Alan Livingston, MD
• Ayisha Elizabeth Livingstone, M.D.
• Monica Liy, ARNP
• Ynge Ljung, AP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.