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PROACTIVE LIVING, LLC
NPI 1063264778
Counselor - Mental Health in Pocatello, ID

Active since April 04, 2024
2520 S 5TH AVE, POCATELLO, ID 83204(208) 233-5433(877) 284-2783 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proactive Living, Llc NPPES

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

PROACTIVE LIVING, LLC (NPI 1063264778) is a healthcare organization registered as a mental health in Pocatello, Idaho and active in the NPI registry since April 2024. The organization lists Steven Mckee, Owner, as its authorized official.

NPPES Registry Identity

NPI1063264778
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePROACTIVE LIVING, LLC
Location Address2520 S 5TH AVEPocatello, ID 83204-1923
Mailing Address2520 S 5th AvePocatello, ID 83204-1923 · (208) 233-5433 · Fax (877) 284-2783
Phone(208) 233-5433
Fax(877) 284-2783
Organization SubpartNo
Authorized OfficialSteven MckeeOwner · (208) 233-5433
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1063264778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2520 S 5TH AVE, Pocatello, ID 83204
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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

Other Providers at the Same Location NPPES 4

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

JUSTIN G FIRTH
Physician Assistant
2520 S 5TH AVE
POCATELLO, ID 83204
Power County (208) 233-5433
TIFFANY ANN BASCOM LCPC
Counselor (Mental Health)
2520 S 5TH AVE
POCATELLO, ID 83204
Power County (208) 233-5433
ARYSSA DAWN MCBRIDE LMSW
Social Worker
2520 S 5TH AVE
POCATELLO, ID 83204
Power County (208) 233-5433
MYLA DAY LMSW
Social Worker
2520 S 5TH AVE
POCATELLO, ID 83204
Power County (208) 233-5433

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 Proactive Living, LLC's NPI number?

The NPI number for Proactive Living, LLC is 1063264778. It was assigned to this organization in the NPPES registry on April 4, 2024.

Where is Proactive Living, LLC located?

Proactive Living, LLC is located at 2520 S 5th Ave, Pocatello, ID 83204. The listed phone number is (208) 233-5433.

What is Proactive Living, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Proactive Living, LLC was last updated on April 4, 2024. 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.