=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477408490
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIFE HAPPENS EMBRACE JOY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1637 29TH AVENUE PL
-----------------------------------------------------
City | GREELEY
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80634-6822
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-948-6789
-----------------------------------------------------
Fax | 877-345-3501
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 KALISA WAY STE 101
-----------------------------------------------------
City | PARAMUS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07652-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-948-6789
-----------------------------------------------------
Fax | 877-345-3501
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE OWNER
-----------------------------------------------------
Name | GWENDOLYN JAUSSAUD MUSICK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 618-520-0019
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------