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
- 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
- Code Navigator
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) |
---|---|---|---|---|
1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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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. | |||||||||
1 | 7 | 7 | 0 | 2 | 0 | 4 | 3 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 14 | 0 | 4 | 0 | 8 | 3 | 8 | |
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 = 9 | 9 |
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 |
---|---|---|---|
1629562558 | MR. JAMES BRITTIAN PARRAMORE LPC Individual | Counselor (Professional) | 4390 EARNEY RD STE 140 WOODSTOCK, GA 30188 (678) 568-2285 |
1902388432 | PATHLIGHT COUNSELING LLC Organization | Counselor (Mental Health) | 4390 EARNEY RD STE 140 WOODSTOCK, GA 30188 (706) 675-5241 |
1588348593 | PATHLIGHT 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].
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