Organization · Type 2 NPI
Active Living LLC
Counselor · Medina, TN
NPI number
1487686879
Active
Practice location
503 W Church Ave, Suite A
Medina, TN 38355-8769
Fax (731) 723-1148
Mailing address
PO Box 444
Medina, TN 38355-0444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1487686879
Active Living LLC's National Provider Identifier is 1487686879, issued on Jul 7, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Medina, TN. The record was last updated on Aug 22, 2020.