Living Beyond | |
151 Mary Esther Blvd Ste 507 Mary Esther FL 32569-1976 | |
(850) 687-5105 | |
Not Available |
Full Name | Living Beyond |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 151 Mary Esther Blvd Ste 507, Mary Esther, Florida |
Authorized Official Name and Position | Martha Lawson Van Dam (OWNER) |
Authorized Official Contact | 8506875105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Living Beyond 226 Windward Way Niceville FL 32578-4328 Ph: (850) 678-5105 | Living Beyond 151 Mary Esther Blvd Ste 507 Mary Esther FL 32569-1976 Ph: (850) 687-5105 |
NPI Number | 1548912702 |
---|---|
Provider Enumeration Date | 01/19/2022 |
Last Update Date | 01/19/2022 |
Certification Date | 01/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548912702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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