# LIVE YOUR BEST LIFE THERAPY

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

## Provider details

- **NPI number:** 1477315489
- **Authorized official:** ERICA N PORTER (CREDENTIALING CONSULTANT)
- **Authorized official phone:** (443) 255-3135

## Contact information

- **Practice address:** 2180 GEORGETOWN DRIVE, CORONA, CA 92881
- **Practice address phone:** (909) 278-8855
- **Mailing address:** 4343 MACARTHUR BLVD \# 1146, NEWPORT BEACH, CA 92660-2021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2024
- **Last updated:** 02/13/2024