| Liv Wellness Center Llc | |
|
4949 S Congress Ave Ste E Palm Springs FL 33461-4731 | |
| (888) 403-6446 | |
| Not Available |
| Full Name | Liv Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4949 S Congress Ave Ste E, Palm Springs, Florida |
| Authorized Official Name and Position | John Anthony Robilio (OWNER) |
| Authorized Official Contact | 8884036446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liv Wellness Center Llc 4949 S Congress Ave Ste E Palm Springs FL 33461-4731 Ph: (888) 403-6446 | Liv Wellness Center Llc 4949 S Congress Ave Ste E Palm Springs FL 33461-4731 Ph: (888) 403-6446 |
| NPI Number | 1609363175 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609363175 | NPI | - | NPPES |
| 1018009 | Other | FL | DEPARTMENT OF CHILDREN AND FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 1018009 (Florida) | Primary |
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