Provider Demographics
NPI:1558963975
Name:MY LIVEABILITY, LLC
Entity Type:Organization
Organization Name:MY LIVEABILITY, LLC
Other - Org Name:MY LIVEABILITY,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:615-944-5649
Mailing Address - Street 1:6480 PEYTONSVILLE ARNO RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE GROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37046-9133
Mailing Address - Country:US
Mailing Address - Phone:615-944-5649
Mailing Address - Fax:615-814-0213
Practice Address - Street 1:6480 PEYTONSVILLE ARNO RD
Practice Address - Street 2:
Practice Address - City:COLLEGE GROVE
Practice Address - State:TN
Practice Address - Zip Code:37046-9133
Practice Address - Country:US
Practice Address - Phone:615-944-5649
Practice Address - Fax:615-814-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty