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

Living Well, PA

Organization Clinical Neuropsychologist · NPI 1316197759

Living Well, PA provides Clinical Neuropsychologist services in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1225 Breckenridge Dr Ste 204
Little Rock, AR 72205-1558 Not confirmed with CMS for 18 years — call before visiting
Phone: (501) 255-1574
Fax: (501) 255-1446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 04-16P (AR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 04-16P (AR)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 04-16P (AR)

Record details

NPI number1316197759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Hagen — President · (501) 255-1574
Other names Living Well, Pllc
NPI enumeratedSeptember 23, 2008
Last updated in NPPESSeptember 23, 2008
Mailing addressPo Box 206, Mabelvale, AR 72103-0206

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