| Life Fully Lived, Llc | |
|
19 Brandywine Blvd Talleyville DE 19803-1838 | |
| (302) 703-7779 | |
| Not Available |
| Full Name | Life Fully Lived, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 Brandywine Blvd, Talleyville, Delaware |
| Authorized Official Name and Position | Megan Doyle (OWNER) |
| Authorized Official Contact | 4434667038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Fully Lived, Llc 19 Brandywine Blvd Talleyville DE 19803-1838 Ph: (302) 703-7779 | Life Fully Lived, Llc 19 Brandywine Blvd Talleyville DE 19803-1838 Ph: (302) 703-7779 |
| NPI Number | 1003408352 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 12/24/2023 |
| Certification Date | 12/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003408352 | NPI | - | NPPES |
| 1366405433 | Medicaid | DE | |
| 1124693056 | Medicaid | DE | |
| 1538734959 | Medicaid | DE | |
| 1275287823 | Medicaid | DE | |
| 1023361136 | Medicaid | DE | |
| 1134272610 | Medicaid | DE | |
| 1891379467 | Medicaid | DE | |
| 1093300527 | Medicaid | DE | |
| 1134488711 | Medicaid | DE |
Mariella Roberts Lpcmh, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Washington Ave, Talleyville, DE 19803 Phone: 302-966-3058 | |
Kwb Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Brandywine Blvd, Talleyville, DE 19803 Phone: 302-597-9911 |