| Anna Lively, Lmhc | |
|
1210 W Del Webb Blvd Sun City Center FL 33573-5224 | |
| (813) 928-5335 | |
| Not Available |
| Full Name | Anna Lively, Lmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1210 W Del Webb Blvd, Sun City Center, Florida |
| Authorized Official Name and Position | Anna Lively (OWNER) |
| Authorized Official Contact | 8139285335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Lively, Lmhc Po Box 752 Balm FL 33503-0752 Ph: (813) 928-5335 | Anna Lively, Lmhc 1210 W Del Webb Blvd Sun City Center FL 33573-5224 Ph: (813) 928-5335 |
| NPI Number | 1982107462 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 03/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982107462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH12213 (Florida) | Primary |
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