| Living Well Professional Services Llc | |
|
114 W. North Street Suite 4 Owosso MI 48867 | |
| (989) 729-0300 | |
| Not Available |
| Full Name | Living Well Professional Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 114 W. North Street, Owosso, Michigan |
| Authorized Official Name and Position | Crescent S Norman (PRESIDENT) |
| Authorized Official Contact | 9897290300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Professional Services Llc 114 W. North Street Suite 4 Owosso MI 48867 Ph: () - | Living Well Professional Services Llc 114 W. North Street Suite 4 Owosso MI 48867 Ph: (989) 729-0300 |
| NPI Number | 1255543336 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255543336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401006614 (Michigan) | Primary |
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