LIFE FULLY LIVED LLC NPI 1003408352

NPI Information

LIFE FULLY LIVED, LLC is a mental health counselor in Talleyville, DE. LIFE FULLY LIVED, LLC NPI is 1003408352. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19 BRANDYWINE BLVD
TALLEYVILLE, DE
ZIP 19803-838
Phone: (302) 703-7779

The provider's authorized official is Megan Doyle .
The authorized official title is Owner and has the following contact phone number (443) 466-7038.

The enumeration date for this NPI number is 2/8/2021 and was last updated on 12/24/2023.

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:

Other Identifiers

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