Life Fully Lived, Llc

LBN: Life Fully Lived, Llc
Life Fully Lived, Llc is an health care organization with primary practice located at 19 Brandywine Blvd , Talleyville DE 19803-1838. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Life Fully Lived, Llc can be contacted via phone (302) 703-7779, or through Doyle, Megan via phone (443) 466-7038.

Contact Information

Primary practice address
19 Brandywine Blvd Talleyville DE 19803-1838
Phone: (302) 703-7779
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doyle, Megan LPCMH
Phone: (443) 466-7038

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1003408352
LBN Legal business name Life Fully Lived, Llc
DBA Doing business as
Authorized official Doyle, Megan LPCMH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2021
Last updated Dec 24th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003408352 NPPES
Delaware MEDICAID 1366405433
Delaware MEDICAID 1124693056
Delaware MEDICAID 1538734959
Delaware MEDICAID 1275287823
Delaware MEDICAID 1023361136
Delaware MEDICAID 1134272610
Delaware MEDICAID 1891379467
Delaware MEDICAID 1093300527
Delaware MEDICAID 1134488711

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