LIVING IN FULL EXCELLENCE (NPI# 1619345766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619345766 |
| Entity Type | Organization |
| Organization Name | LIVING IN FULL EXCELLENCE |
| Practice Address |
232 Market St Jackson MS 39232-3339 |
| Mailing Address |
1220 North St Fayetteville NC 28301-4413 |
| Practice Telephone | 9102294387 |
| Mailing Telephone | 9108532184 |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MISS LATASHA MICHELLE BETHEA (CHIEF EXECUTIVE OFFICER/OWNER) |
| Authorized Official Telephone | 9102294387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821444191 | Living In Full Excellence | Community/Behavioral Health | 1220 North St, Fayetteville, NC 28301-4413 | 2016-05-05 |
| Street Address |
232 MARKET ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39232-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768801 | Abc Center for Learning Inc | Community/Behavioral Health | 4939 Ledgerock St, Jackson, MI 49201-8128 | 2020-07-30 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1215410816 | Feed Your Soul LLC | Community/Behavioral Health | 180 W University Pkwy Ste D, Jackson, TN 38305-1612 | 2018-09-10 |
| 1184103061 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1025 Larsen Rd, Jackson, NJ 08527-1315 | 2018-08-10 |
| 1649759523 | Ymca of Greater Monmouth County | Community/Behavioral Health | 75 W Veterans Hwy, Jackson, NJ 08527-3403 | 2018-08-10 |
| 1558840439 | Ymca of Greater Monmouth County | Community/Behavioral Health | 125 N Hope Chapel Rd, Jackson, NJ 08527-2962 | 2018-08-10 |
| 1417436544 | Ymca of Greater Monmouth County | Community/Behavioral Health | 35 S Hope Chapel Rd, Jackson, NJ 08527-5019 | 2018-08-09 |
| 1568964112 | Apluscare, LLC | Community/Behavioral Health | 613 Atterbury Ct E, Jackson, NJ 08527-3182 | 2018-02-28 |
| 1043722465 | Apluscare, LLC | Community/Behavioral Health | 1012 Atterbury Ct E, Jackson, NJ 08527-3186 | 2017-10-25 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on LIVING IN FULL EXCELLENCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.