| NPI | 1184979908 |
|---|---|
| Doing Business As | LIVING WELL COUNSELING, COACHING AND CONSULTING |
| Entity Type | Organization |
| Authorized Contact | CARISSA LYNETTE DORE Chief Operating Officer 904-339-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL N10000009242) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL N10000009242) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |