| NPI | 1891537668 |
|---|---|
| Former Legal Business Name | LIVING WELL COUNSELING AND CONSULTING |
| Entity Type | Organization |
| Authorized Contact | VICKI LYNNE BONHAM Director 239-940-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-07-09 |