Provider Demographics
NPI:1306419478
Name:MEANINGFUL LIVING LLC
Entity Type:Organization
Organization Name:MEANINGFUL LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-457-3393
Mailing Address - Street 1:738 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-1426
Mailing Address - Country:US
Mailing Address - Phone:404-457-3393
Mailing Address - Fax:
Practice Address - Street 1:738 STRATFORD RD
Practice Address - Street 2:
Practice Address - City:AVONDALE ESTATES
Practice Address - State:GA
Practice Address - Zip Code:30002-1426
Practice Address - Country:US
Practice Address - Phone:404-457-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health