| Livewell Integrative Health Corp | |
|
8249 Devereux Dr Ste 101 Melbourne FL 32940-7955 | |
| (321) 259-1662 | |
| (321) 779-7729 |
| Full Name | Livewell Integrative Health Corp |
|---|---|
| Speciality | Psychologist |
| Location | 8249 Devereux Dr Ste 101, Melbourne, Florida |
| Authorized Official Name and Position | Michele Ronsisvalle (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 3212591662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Integrative Health Corp 200 S Harbor City Blvd Ste 401 Melbourne FL 32901-1389 Ph: (321) 446-7150 | Livewell Integrative Health Corp 8249 Devereux Dr Ste 101 Melbourne FL 32940-7955 Ph: (321) 259-1662 |
| NPI Number | 1356926695 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356926695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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