Healthcare Provider Details

I. General information

NPI: 1508409244
Provider Name (Legal Business Name): LIVING LIFE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2019
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 DAWN DR STE 101
GEORGETOWN TX
78628-2822
US

IV. Provider business mailing address

3008 DAWN DR STE 101
GEORGETOWN TX
78628-2822
US

V. Phone/Fax

Practice location:
  • Phone: 512-966-5405
  • Fax: 512-864-0930
Mailing address:
  • Phone: 512-966-5405
  • Fax: 512-864-0930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA WILLIAMS
Title or Position: OWNER
Credential: LPC
Phone: 512-966-5405