Living Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIVING WELLNESS, LLC

Practice address

12801 Iron Bridge Rd Ste 100
Chester, VA 23831-1669

Phone

(443) 272-1429

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Janine A Canaday

Title

Owner/Therapist

Phone

(443) 272-1429

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1992339998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14443 WOODLEIGH DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD STE 100",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "443-272-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "CANADAY",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "443-272-1429"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janine@iamlivingwellness.com",
            "affiliation": "N",
            "address_1": "12801 Iron Bridge Rd Ste 100",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238311669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Chester, VA
• Providers in Chester, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.