Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health |
101YM0800X | |||
Recovery Care |
261QR0800X |
| NPI # | 1750221388 |
| LBN Legal business name | LIVING WELL INSTITUTE, LLC |
| Authorized official | LATASHA CRAIG - (CO-OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/01/2026 |
| Last updated | 04/02/2026 - About 2 months ago |
| Identifiers | n/a |
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