Life Fully Lived, Llc is a Nurse Practitioner based in Talleyville, DE. Life Fully Lived, Llc practices in Talleyville, DE. The NPI Number for Life Fully Lived, Llc is 1003408352 and holds a License No. (Delaware).
The current practice location address for Life Fully Lived, Llc is 19 Brandywine Blvd, Talleyville, DE and can be reached out via phone at 302-703-7779.
Location: 19 Brandywine Blvd, Talleyville, DE, 19803-1838
Provider Profile Details
NPI Number
1003408352
Provider Name
Life Fully Lived, Llc
Credential
Provider Entity Type
Organization
Address
19 Brandywine Blvd, Talleyville, DE, 19803-1838
Phone Number
302-703-7779
Fax Number
Provider Enumeration Date
02/08/2021
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366405433 | 05 | DE | |
| 1124693056 | 05 | DE | |
| 1538734959 | 05 | DE | |
| 1275287823 | 05 | DE | |
| 1023361136 | 05 | DE | |
| 1134272610 | 05 | DE | |
| 1891379467 | 05 | DE | |
| 1093300527 | 05 | DE | |
| 1134488711 | 05 | DE |
Provider Business Practice Location Address Details
Address
19 Brandywine Blvd
City
State
Zip
19803-1838
Phone Number
302-703-7779
Fax Number
Provider Business Mailing Address Details
Address
19 Brandywine Blvd
City
State
Zip
19803-1838
Phone Number
302-703-7779
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Badge
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