MEDICARE: LIVING LIFE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1508409244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING LIFE COUNSELING LLC

Provider Business Mailing Address
First Line	:	3008 DAWN DR STE 101
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-2822
Country	:	US
Telephone Number	:	512-966-5405
Fax Number	:	512-864-0930

Provider Business Practice Location Address
First Line	:	3008 DAWN DR STE 101
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-2822
Country	:	US
Telephone Number	:	512-966-5405
Fax Number	:	512-864-0930

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA WILLIAMS
Credential	:	LPC
Telephone Number	:	512-966-5405

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	11/30/2023

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Directions to “LIVING LIFE COUNSELING LLC ” Practice Location

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