Provider Demographics
NPI:1396143384
Name:LIFE WORTH LIVING, LTD
Entity type:Organization
Organization Name:LIFE WORTH LIVING, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUATTRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-257-2409
Mailing Address - Street 1:10597 MONTGOMERY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4471
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10597 MONTGOMERY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4471
Practice Address - Country:US
Practice Address - Phone:513-257-2409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900095101YM0800X
OHC.1200579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty