Provider Demographics
NPI:1871360875
Name:LIVING YOUR BEST LIFE HEALTH COACHING
Entity type:Organization
Organization Name:LIVING YOUR BEST LIFE HEALTH COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COACH
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:AUTUMN
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-404-0454
Mailing Address - Street 1:1122 LADY ST OFC 226
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3489
Mailing Address - Country:US
Mailing Address - Phone:803-404-0454
Mailing Address - Fax:
Practice Address - Street 1:1122 LADY ST OFC 226
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3489
Practice Address - Country:US
Practice Address - Phone:803-404-0454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty