LIVE WELL BEHAVIORAL MEDICINE P.C.
NPI 1770204349
Nurse Practitioner - Psychiatric/Mental Health in Woodstock, GA

NPI Status: Active since September 12, 2022

Contact Information

4390 EARNEY RD STE 140
WOODSTOCK, GA
ZIP 30188
Phone: (678) 568-2285
Fax: (706) 553-4157

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About LIVE WELL BEHAVIORAL MEDICINE P.C.

This page provides the complete NPI Profile along with additional information for Live Well Behavioral Medicine P.c., a provider established in Woodstock, Georgia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1770204349 assigned on September 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jamarri Rollocks Lpc (Owner)

NPI
1770204349
Provider Name
LIVE WELL BEHAVIORAL MEDICINE P.C.
Entity Type
Organization
Location Address
4390 EARNEY RD STE 140 WOODSTOCK, GA 30188
Location Phone
(678) 568-2285
Location Fax
(706) 553-4157
Mailing Address
1290 KENNESTONE CIR STE D109 MARIETTA, GA 30066
Mailing Phone
(404) 944-9425
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2022
Last Update Date
09-12-2022
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A nurse practitioner (NP) like Live Well Behavioral Medicine P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1290 Kennestone Cir Ste D109
    Marietta, GA 30066
    (470) 819-1311

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMARRI ROLLOCKS LPC

Authorized Official Title
OWNER
Authorized Official Phone
(404) 944-9425

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770204349
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714040838
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 0 + 8 + 3 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1770204349 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629562558MR. JAMES BRITTIAN PARRAMORE LPC
Individual
Counselor (Professional)4390 EARNEY RD STE 140
WOODSTOCK, GA 30188
(678) 568-2285
1902388432PATHLIGHT COUNSELING LLC
Organization
Counselor (Mental Health)4390 EARNEY RD STE 140
WOODSTOCK, GA 30188
(706) 675-5241
1588348593PATHLIGHT BEHAVIORAL HEALTH
Organization
Counselor (Mental Health)4390 EARNEY RD STE 140
WOODSTOCK, GA 30188
(678) 568-2285

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770204349, enumerated in the NPI registry as an "organization" on September 12, 2022

The provider is located at 4390 Earney Rd Ste 140 Woodstock, Ga 30188 and the phone number is (678) 568-2285

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on September 12, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.