| Living Beyond | |
|
151 Mary Esther Blvd Ste 507 Mary Esther FL 32569-1976 | |
| (850) 687-5105 | |
| Not Available |
| Full Name | Living Beyond |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 151 Mary Esther Blvd Ste 507, Mary Esther, Florida |
| Authorized Official Name and Position | Martha Lawson Van Dam (OWNER) |
| Authorized Official Contact | 8506875105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Beyond 226 Windward Way Niceville FL 32578-4328 Ph: (850) 678-5105 | Living Beyond 151 Mary Esther Blvd Ste 507 Mary Esther FL 32569-1976 Ph: (850) 687-5105 |
| NPI Number | 1548912702 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548912702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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