| NPI | 1720500093 |
|---|---|
| Doing Business As | LIVING WELL COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CARISSA DORE CEO 904-339-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2022-07-21 |