Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Fully Lived, LLC

Organization Mental Health Counselor · NPI 1003408352

Life Fully Lived, LLC is a Mental Health Counselor in Talleyville, Delaware. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19 Brandywine Blvd
Talleyville, DE 19803-1838
Phone: (302) 703-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 Stafford Ave, Newark, DE 19711-5575 — (443) 466-7038

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Clinical Social Worker Taxonomy 1041C0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1003408352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Doyle — Owner · (443) 466-7038
NPI enumeratedFebruary 8, 2021
Last updated in NPPESDecember 24, 2023
Certification dateDecember 24, 2023
Mailing address19 Brandywine Blvd, Talleyville, DE 19803-1838

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