| Living Free Therapy Services Llc | |
|
217 Miracle Strip Pkwy Se Fort Walton Beach FL 32548 | |
| (833) 611-3733 | |
| (888) 959-6012 |
| Full Name | Living Free Therapy Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 217 Miracle Strip Pkwy Se, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Melissa Nelson (OWNER/THERAPIST) |
| Authorized Official Contact | 8502969047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Free Therapy Services Llc P.o. Box 1004 Mary Esther FL 32569 Ph: (833) 611-3733 | Living Free Therapy Services Llc 217 Miracle Strip Pkwy Se Fort Walton Beach FL 32548 Ph: (833) 611-3733 |
| NPI Number | 1649623448 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649623448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH13396 (Florida) | Primary |
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