Provider Demographics
NPI:1518529379
Name:LIVING ESSENTIAL COACHING, LLC
Entity Type:Organization
Organization Name:LIVING ESSENTIAL COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ED
Authorized Official - Last Name:COUGHANOUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:724-217-1463
Mailing Address - Street 1:800 ARTHUR AVENUE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683
Mailing Address - Country:US
Mailing Address - Phone:724-217-1463
Mailing Address - Fax:
Practice Address - Street 1:128 INNOVATIVE LANE
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-217-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty