MEDICARE: LIVING WITH DIRECTION INC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1699400127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING WITH DIRECTION INC

Provider Business Mailing Address
First Line	:	24530 GOSLING RD APT 1124
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-5613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24530 GOSLING RD APT 1124
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-5613
Country	:	US
Telephone Number	:	214-728-0072
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAKISHA MONTGOMERY
Credential	:
Telephone Number	:	214-728-0072

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	07/19/2022

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