| Living Life, Llc | |
|
2762 Dora Avenue Suite 2762 Tavares FL 32778-4970 | |
| (352) 253-1100 | |
| (352) 253-6241 |
| Full Name | Living Life, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2762 Dora Avenue, Tavares, Florida |
| Authorized Official Name and Position | Pamela D Duvall (OWNER) |
| Authorized Official Contact | 3522531100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Life, Llc 2762 Dora Ave Tavares FL 32778-4970 Ph: (352) 253-1100 | Living Life, Llc 2762 Dora Avenue Suite 2762 Tavares FL 32778-4970 Ph: (352) 253-1100 |
| NPI Number | 1154514354 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154514354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH5873 (Florida) | Primary |
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