Provider Demographics
NPI:1528229275
Name:LIVING STRONG, INC.
Entity Type:Organization
Organization Name:LIVING STRONG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:530-242-5848
Mailing Address - Street 1:1246 EAST ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0836
Mailing Address - Country:US
Mailing Address - Phone:530-242-5848
Mailing Address - Fax:530-242-5848
Practice Address - Street 1:1246 EAST ST
Practice Address - Street 2:SUITE 8
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0836
Practice Address - Country:US
Practice Address - Phone:530-242-5848
Practice Address - Fax:530-242-5848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28305106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty