Provider Demographics
NPI:1205722618
Name:LIVING EXPECTANTLY R.D. LLC
Entity type:Organization
Organization Name:LIVING EXPECTANTLY R.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ALEXANDER CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:704-200-4150
Mailing Address - Street 1:2201 CARONIA ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-7141
Mailing Address - Country:US
Mailing Address - Phone:704-714-4051
Mailing Address - Fax:
Practice Address - Street 1:2201 CARONIA ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-7141
Practice Address - Country:US
Practice Address - Phone:704-714-4051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health