Provider Demographics
NPI:1891157723
Name:LIVE MORE LIFE EVERYDAY INC
Entity Type:Organization
Organization Name:LIVE MORE LIFE EVERYDAY INC
Other - Org Name:LMLE COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:857-228-8245
Mailing Address - Street 1:21 LEXINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472
Mailing Address - Country:US
Mailing Address - Phone:857-228-8245
Mailing Address - Fax:857-373-7040
Practice Address - Street 1:204 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4721
Practice Address - Country:US
Practice Address - Phone:857-228-8245
Practice Address - Fax:857-373-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMFT 1381261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)