# LIVE IN THE DREAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154840197
- **Authorized official:** CAROLE ROGERS BA, M.A. ED., CBIS (CEO)
- **Authorized official phone:** (732) 300-4927

## Contact information

- **Practice address:** 116 ANTHONY AVE, TOMS RIVER, NJ 08753-7175
- **Practice address phone:** (732) 300-4927
- **Mailing address:** PO BOX 1792, TOMS RIVER, NJ 08754-1792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2017
- **Last updated:** 09/11/2017