LIVEWELL GAINESVILLE LLC NPI 1104568039

NPI Information

NPI: 1104568039
Provider Name: LIVEWELL GAINESVILLE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
310 NW 76TH DR STE B
GAINESVILLE, FL
ZIP 32607
Phone: (352) 900-3130
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LIVEWELL GAINESVILLE, LLC is a mental health counselor in Gainesville, FL. LIVEWELL GAINESVILLE, LLC NPI is 1104568039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 NW 76TH DR STE B
GAINESVILLE, FL
ZIP 32607-661
Phone: (352) 900-3130
Fax: (352) 283-8469

The provider's authorized official is Wendy Gibbs .
The authorized official title is Lmft, Qualified Supervisor, Owner and has the following contact phone number (352) 900-3130.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 4/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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