Provider Demographics
NPI:1699133538
Name:BE-LIVE-IT THERAPY
Entity type:Organization
Organization Name:BE-LIVE-IT THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:TATANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-718-5549
Mailing Address - Street 1:8301 ASHFORD BLVD
Mailing Address - Street 2:816
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5601
Mailing Address - Country:US
Mailing Address - Phone:202-718-5549
Mailing Address - Fax:
Practice Address - Street 1:8301 ASHFORD BLVD
Practice Address - Street 2:816
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5601
Practice Address - Country:US
Practice Address - Phone:202-718-5549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-07
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty