LIFE FULLY LIVED, LLC
NPI 1003408352
Counselor - Mental Health in Talleyville, DE

Active since February 08, 2021
19 BRANDYWINE BLVD, TALLEYVILLE, DE 19803(302) 703-7779 Get Directions Write a Review

NPPES record last updated: December 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2023, Sep 20, 2022, Feb 8, 2021 (3 updates tracked since 2021).

About Life Fully Lived, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE FULLY LIVED, LLC (NPI 1003408352) is a healthcare organization registered as a mental health in Talleyville, Delaware and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Newark and lists Megan Doyle, Owner, as its authorized official.

NPPES Registry Identity

NPI1003408352
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFE FULLY LIVED, LLC
Location Address19 BRANDYWINE BLVDTalleyville, DE 19803-1838
Mailing Address19 Brandywine BlvdTalleyville, DE 19803-1838 · (302) 703-7779
Organization SubpartNo
Authorized OfficialMegan DoyleOwner · (443) 466-7038
Enumeration DateFebruary 8, 2021
Last NPPES UpdateDecember 24, 20233 updates tracked since enumeration
NPPES CertifiedDecember 24, 2023
NPI 1003408352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
19 BRANDYWINE BLVD, Talleyville, DE 19803

Secondary Practice Location 1

Location 1425 Stafford AveNewark, DE 19711-5575 · Phone (443) 466-7038 · Fax (302) 337-5986

Other Identifiers 9

Medicaid1366405433DE
Medicaid1124693056DE
Medicaid1538734959DE
Medicaid1275287823DE
Medicaid1023361136DE
Medicaid1134272610DE
Medicaid1891379467DE
Medicaid1093300527DE
Medicaid1134488711DE

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803
Social Worker (Clinical)
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803
Counselor (Mental Health)
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803
Counselor (Mental Health)
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803
Counselor (Mental Health)
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803
Counselor (Mental Health)
19 BRANDYWINE BLVD
WILMINGTON, DE 19803
Nurse Practitioner
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803
Counselor
19 BRANDYWINE BLVD
TALLEYVILLE, DE 19803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Fully Lived, LLC's NPI number?

The NPI number for Life Fully Lived, LLC is 1003408352. It was assigned to this organization in the NPPES registry on February 8, 2021.

Where is Life Fully Lived, LLC located?

Life Fully Lived, LLC is located at 19 Brandywine Blvd, Talleyville, DE 19803. The listed phone number is (302) 703-7779.

What is Life Fully Lived, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Life Fully Lived, LLC accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Life Fully Lived, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Fully Lived, LLC was last updated on December 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.