Organization Active NPI

Live Well Counseling, LLC

  • Community/Behavioral Health Agency
  • Indian Harbour Beach, FL
National Provider Identifier
1851826259
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH12580 Issued in FL
Legal business name
LIVE WELL COUNSELING, LLC
Practice address
2194 Highway A1A
Suite 203
Indian Harbour Beach, FL 32937-4930
Phone
(321) 238-8088
Fax
(321) 773-5479
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Christina H Principe, MA, LMHC, DCC, NCC
Title
Therapist/Owner
Phone
(321) 238-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH12580 FL Primary

Addresses

Primary practice location

2194 Highway A1A
Suite 203
Indian Harbour Beach, FL 32937-4930

Mailing address

2194 Highway A1A
Suite 203
Indian Harbour Beach, FL 32937-4930
Phone (321) 238-8088

National Provider Directory

National Provider Directory

Locations

2194 Highway A1A
Ste 203
Indian Harbour Beach, FL 32937
Phone (321) 777-8930

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1851826259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A",
            "address_2": "SUITE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-238-8088",
            "fax_number": "321-773-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A",
            "address_2": "SUITE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374930",
            "telephone_number": "321-238-8088",
            "fax_number": "321-773-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "PRINCIPE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "321-238-8088",
        "authorized_official_credential": "MA, LMHC, DCC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH12580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.