Living Well Counseling And Consulting Llc | |
8359 Beacon Blvd Ste 514 Fort Myers FL 33907-3066 | |
(239) 940-7025 | |
Not Available |
Full Name | Living Well Counseling And Consulting Llc |
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Speciality | Clinic/Center |
Location | 8359 Beacon Blvd Ste 514, Fort Myers, Florida |
Authorized Official Name and Position | Vicki Lynne Bonham (DIRECTOR) |
Authorized Official Contact | 2399407025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Living Well Counseling And Consulting Llc 8359 Beacon Blvd Ste 514 Fort Myers FL 33907-3066 Ph: (239) 940-7025 | Living Well Counseling And Consulting Llc 8359 Beacon Blvd Ste 514 Fort Myers FL 33907-3066 Ph: (239) 940-7025 |
NPI Number | 1891537668 |
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Provider Enumeration Date | 06/11/2024 |
Last Update Date | 07/09/2024 |
Certification Date | 07/09/2024 |
Medicare PECOS PAC ID | 0547709966 |
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Medicare Enrollment ID | O20240829002800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891537668 | NPI | - | NPPES |
Provider Name | Vicki Lynne Bonham |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881316776 PECOS PAC ID: 0941645063 Enrollment ID: I20240228004012 |
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