Provider Demographics
NPI:1790495380
Name:LIVING LIFE 4 ME TODAY LIFE COACHING LLC
Entity Type:Organization
Organization Name:LIVING LIFE 4 ME TODAY LIFE COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST/LIFE COACH
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GIMENO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:310-299-1443
Mailing Address - Street 1:6307 BRIARCLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-7640
Mailing Address - Country:US
Mailing Address - Phone:310-299-1443
Mailing Address - Fax:
Practice Address - Street 1:10001 BISCAYNE LN
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2361
Practice Address - Country:US
Practice Address - Phone:310-299-1443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty