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General NPI Number Information
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NPI Number | 1750221388
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Entity Type | Organization
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Legal Business Name | LIVING WELL INSTITUTE, LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 9322 TAYLORSVILLE RD STE 2A
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City | LOUISVILLE
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State | KY
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Zip | 40299-1774
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Country | US
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Telephone | 502-500-8320
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Fax |
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Provider Business Mailing Address
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Address Line | 9322 TAYLORSVILLE RD STE 2A
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City | LOUISVILLE
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State | KY
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Zip | 40299-1774
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Country | US
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Telephone | 502-500-8320
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | LATASHA L CRAIG
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Credential | BASW, MSSW, MA, CSW
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Telephone | 502-500-8320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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