| Living Well | |
|
934 N Magnolia Ave Suite 119 Orlando FL 32803-3840 | |
| (407) 718-5380 | |
| Not Available |
| Full Name | Living Well |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 934 N Magnolia Ave, Orlando, Florida |
| Authorized Official Name and Position | Andrea Jacqueline Garwood (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 4077185380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Po Box 560182 Orlando FL 32856-0182 Ph: (407) 718-5380 | Living Well 934 N Magnolia Ave Suite 119 Orlando FL 32803-3840 Ph: (407) 718-5380 |
| NPI Number | 1144506536 |
|---|---|
| Provider Enumeration Date | 10/29/2011 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144506536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 5144 (Florida) | Primary |
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