Living Well, Pllc

LBN: Living Well, Pa
Living Well, Pllc is an health care organization with primary practice located at 1225 Breckenridge Dr Suite 204, Little Rock AR 72205-1558. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Living Well, Pa can be contacted via phone (501) 255-1574, or through Hagen, Jody Lynn via phone (501) 255-1574.

Contact Information

Primary practice address
1225 Breckenridge Dr Suite 204 Little Rock AR 72205-1558
Phone: (501) 255-1574
Fax: (501) 255-1446
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Jody Lynn PHD
Phone: (501) 255-1574

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 04-16P Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 04-16P Arkansas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 04-16P Arkansas

Profile Details

NPI number 1316197759
LBN Legal business name Living Well, Pa
DBA Doing business as Living Well, Pllc
Authorized official Hagen, Jody Lynn PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Sep 23rd, 2008 - about 16 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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