Provider Demographics
NPI:1659052504
Name:LIVE YOUR LIFE COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:LIVE YOUR LIFE COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:JUDICE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:325-386-4770
Mailing Address - Street 1:2438 INDUSTRIAL BLVD # 1043
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-7207
Mailing Address - Country:US
Mailing Address - Phone:325-386-4770
Mailing Address - Fax:
Practice Address - Street 1:241 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-6345
Practice Address - Country:US
Practice Address - Phone:325-386-4770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty