LIVE WELL ALLIANCE, LLC (NPI# 1891241568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891241568 |
| Entity Type | Organization |
| Organization Name | LIVE WELL ALLIANCE, LLC |
| Other Organization Name | GINA G GROUP GINA GUDDAT |
| Practice Address |
1103 W. Meeker Street #102 Kent WA 98032 |
| Mailing Address |
P.o. Box 9572 Seattle WA 98109 |
| Practice Telephone | 8882320222 |
| Mailing Telephone | 8882320222 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | MS. GINA LYNN GUDDAT (COUNSELOR, DIRECTOR OF GROUP PRACTI) |
| Authorized Official Telephone | 8882320222 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60217335 | WA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Gina G Group Gina Guddat | Doing Business As Name - Organization |
| Gina Guddat | Other Name - Individual/Organization |
| Street Address |
1103 W. MEEKER STREET #102 |
| City | KENT |
| State | WA |
| Zip Code | 98032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| 1245610112 | Constance Gosnell | Occupational Therapist | 8009 S 180th St Ste 112, Kent, WA 98032 | 2015-06-04 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353668 | Cynthia Njoki Wanjohi | Counselor | 14641 Se 276th Pl, Kent, WA 98042-9130 | 2020-10-11 |
| 1487277984 | Bonnie Harvey | Counselor | 24216 138th Ave Se, Kent, WA 98042-5186 | 2020-05-19 |
| 1831756238 | Marc Kedar Mueller | Counselor | 1621 Central Ave S Ste Q, Kent, WA 98032-7452 | 2019-05-22 |
| 1972060119 | Allyssa Gabrielle Dziurlaj | Counselor | 135 E Erie St Ste 304, Kent, OH 44240-3599 | 2019-02-25 |
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1841764966 | Amanda Mcdonald | Counselor | 4189 Whitestone Rd, Kent, OH 44240-6885 | 2019-01-12 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1821573528 | Cheryl L Fracasso | Counselor | 25722 135th Ave Se, Kent, WA 98042-3506 | 2018-09-27 |
| 1861999617 | Middle Path Counseling Services LLC | Counselor | 175 E Erie St Ste 304, Kent, OH 44240-3595 | 2018-04-09 |
| 1306353123 | Persephone Johansson | Counselor | 615 W Titus St Ste 103, Kent, WA 98032-5749 | 2018-01-02 |
| Find all providers in KENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.