Active NPI
Livingwell Therapy LLC
- Mental Health Counselor
- Lake City, FL
National Provider Identifier
1982317236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIVINGWELL THERAPY LLC
- Practice address
- 321 SW Main Blvd
Lake City, FL 32025-7053 - Phone
- (386) 590-7662
- NPI assigned
- Jan 2, 2023
- Last updated
- Jan 2, 2023
- 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
- Mrs. Natalie Moore, LMHC
- Title
- Owner
- Phone
- (386) 590-7662
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Pastoral Counselor | 101YP1600X | NU | ||
| Professional Counselor | 101YP2500X | NU |
Addresses
Primary practice location
321 SW Main Blvd
Lake City, FL 32025-7053
Mailing address
1162 NW Old Mill Dr
Lake City, FL 32055-6005
Phone (386) 590-7662
National Provider Directory
National Provider DirectoryLocations
321 SW Main Blvd
Lake City, FL 32025
Phone (386) 590-7662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Gainesville, FL
- NPI 1902266026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672617600000",
"number": "1982317236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 NW OLD MILL DR",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320556005",
"telephone_number": "386-590-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 SW MAIN BLVD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320257053",
"telephone_number": "386-590-7662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGWELL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-590-7662",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.