| Organization Name: | LIVING WELL, INC, |
| NPI Number: | 1013153162 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMMY LYNNE MOREHOUSE (PRESIDENT) |
| Mailing Address: | 6003 W Overland Rd Suite 101 Boise |
| State: | ID US |
| Postal Code: | 837093073 |
| Phone Number: | 2083222412 |
| Fax Number: | 2083452077 |
| NPI Enumeration Date: | 12/19/2008 |
| NPI Last Update Date: | 12/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW29353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |