Active Living Llc is a Counselor in Medina, Tennessee. Active Living Llc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Active Living Llc is 1487686879. The last update date is 2020-08-22.
Active Living Llc's current location address is Po Box 444, Medina, Tennessee. You can contact this provider via phone number 7317831975 and fax number 7317231148. The mailing address for Active Living Llc is Po Box 444, Medina, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Living Llc |
|---|---|
| Address | Po Box 444, Medina, Tennessee |
| Phone Number | 7317831975 |
| Fax Number | 7317231148 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Arnold G Joan |
| Credentials | LPC |
| Telephone Number | 7317831975 |
NPI Number Detail
| NPI Number | 1487686879 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 444 |
|---|---|
| City | Medina |
| State | Tennessee (TN) |
| Post Code | 383550444 |
| Phone Number | 7317831975 |
| Fax Number | 7317231148 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Active Living Llc by the Centers for Medicare & Medicaid Services?
The Active Living Llc has been assigned the NPI (National Provider Identifier) 1487686879. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Active Living Llc located?
The Active Living Llc is located at Po Box 444, Medina, TN 383550444.
What is Active Living Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Active Living Llc is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did Active Living Llc receive its 1487686879 assignment from the Centers for Medicare & Medicaid Services?
The Active Living Llc was assigned its 1487686879 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Active Living Llc last refreshed?
The information related to the Active Living Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1679570980
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