Live Well Life Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVE WELL LIFE CENTER

Practice address

1893 Dovonshire Rd SW
Marietta, GA 30064-4078

Phone

(404) 748-2778

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Bernice Williams, PASTORAL COUNSELOR

Title

Christian Counselor

Phone

(404) 748-2778

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1922389691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 DOVONSHIRE RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644078",
            "telephone_number": "404-748-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 DOVONSHIRE RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644078",
            "telephone_number": "404-748-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CHRISTIAN COUNSELOR",
        "authorized_official_telephone_number": "404-748-2778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PASTORAL COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia E Little, MD
• Fang Liu, M.D.
• Jie Liu, M.D PH.D
• Li Liu, MD
• Live Kind Counseling, LLC
• Jonathan Lively, RBT
• Living at Your Finest Wellness LLC
• Living Change Corporation
• Living Grace of Georgia LLC (Grace Living PCH)
• Living I.E. Chiropractic LLC

• Community/Behavioral Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.