Bethany Livingston Lmhc Llc | |
915 Breakaway Trl Titusville FL 32780-3263 | |
(321) 210-5562 | |
(321) 888-4980 |
Full Name | Bethany Livingston Lmhc Llc |
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Speciality | Counselor - Mental Health |
Location | 915 Breakaway Trl, Titusville, Florida |
Authorized Official Name and Position | Bethany Livingston (COUNSELOR/OWNER) |
Authorized Official Contact | 3212105562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bethany Livingston Lmhc Llc 915 Breakaway Trl Titusville FL 32780-3263 Ph: (321) 210-5562 | Bethany Livingston Lmhc Llc 915 Breakaway Trl Titusville FL 32780-3263 Ph: (321) 210-5562 |
NPI Number | 1497217731 |
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Provider Enumeration Date | 04/04/2019 |
Last Update Date | 04/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497217731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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