Living Well Centre

LBN: Living Well Centre
Living Well Centre is an health care organization with primary practice located at 1804 Mlk Jr Pkwy Suite 210, Durham NC 27707-3587. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Living Well Centre can be contacted via phone (919) 489-2254, or through Coffey, Delice via phone (919) 489-2254.

Contact Information

Primary practice address
1804 Mlk Jr Pkwy Suite 210 Durham NC 27707-3587
Phone: (919) 489-2254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coffey, Delice
Phone: (919) 489-2254

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1653 North Carolina

Profile Details

NPI number 1104040294
LBN Legal business name Living Well Centre
DBA Doing business as
Authorized official Coffey, Delice
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Oct 2nd, 2007 - about 17 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 1104040294 NPPES
North Carolina MEDICAID 5905848

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