| Bethany Livingston Lmhc Llc | |
|
915 Breakaway Trl Titusville FL 32780-3263 | |
| (321) 210-5562 | |
| (321) 888-4980 |
| Full Name | Bethany Livingston Lmhc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 915 Breakaway Trl, Titusville, Florida |
| Authorized Official Name and Position | Bethany Livingston (COUNSELOR/OWNER) |
| Authorized Official Contact | 3212105562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Livingston Lmhc Llc 915 Breakaway Trl Titusville FL 32780-3263 Ph: (321) 210-5562 | Bethany Livingston Lmhc Llc 915 Breakaway Trl Titusville FL 32780-3263 Ph: (321) 210-5562 |
| NPI Number | 1497217731 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497217731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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