Long Live Life, Inc.

NPI #1881368223 in Antioch, Tennessee

Provider Information

NPI Number: 1881368223
Entity Type: Organization
Organization Name: Long Live Life, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 8, 2021
Last Updated: Sep 22, 2021

Practice Location

Address: 5170 HICKORY HOLLOW PKWY UNIT 173
City: Antioch
State: Tennessee
ZIP Code: 37013-3084
Phone: (615) 988-0365

Authorized Official

Name: JONATHAN ADAIR, M.S.
Title: CEO
Phone: (615) 915-8734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X
Social Worker	104100000X
Behavior Technician	106S00000X
Health & Wellness Coach	171400000X
Case Manager/Care Coordinator	171M00000X
Contractor	171W00000X
Local Education Agency (LEA)	251300000X
Community/Behavioral Health	251S00000X
Voluntary or Charitable	251V00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Preferred Provider Organization	305R00000X
Point of Service	305S00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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