# LONG LIVE LIFE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Mental Health Initiative, Inc., Jonathan Adair
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881368223
- **Authorized official:** JONATHAN ADAIR M.S. (CEO)
- **Authorized official phone:** (615) 915-8734

## Contact information

- **Practice address:** 5170 HICKORY HOLLOW PKWY UNIT 173, ANTIOCH, TN 37013-3084
- **Practice address phone:** (615) 988-0365
- **Mailing address:** 5170 HICKORY HOLLOW PKWY UNIT 173, ANTIOCH, TN 37013-3084
- **Mailing address phone:** (615) 988-0365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |

## Other

- **Enumeration date:** 08/08/2021
- **Last updated:** 09/22/2021