Living Life, Llc | |
2762 Dora Avenue Suite 2762 Tavares FL 32778-4970 | |
(352) 253-1100 | |
(352) 253-6241 |
Full Name | Living Life, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2762 Dora Avenue, Tavares, Florida |
Authorized Official Name and Position | Pamela D Duvall (OWNER) |
Authorized Official Contact | 3522531100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Living Life, Llc 2762 Dora Ave Tavares FL 32778-4970 Ph: (352) 253-1100 | Living Life, Llc 2762 Dora Avenue Suite 2762 Tavares FL 32778-4970 Ph: (352) 253-1100 |
NPI Number | 1154514354 |
---|---|
Provider Enumeration Date | 08/21/2007 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154514354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH5873 (Florida) | Primary |
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