| NPI | 1114801107 |
|---|---|
| Doing Business As | IVY LIVENGOOD, LCSW |
| Entity Type | Organization |
| Authorized Contact | IVY LIVENGOOD Owner 859-707-8153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-08-02 |
| Last Update Date | 2025-08-02 |