| Living Well | |
|
924 N Magnolia Ave Suite 314 Orlando FL 32803-3852 | |
| (407) 900-6605 | |
| (888) 491-1341 |
| Full Name | Living Well |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 924 N Magnolia Ave, Orlando, Florida |
| Authorized Official Name and Position | Andrea Jacqueline Garwood (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4077185380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Po Box 560341 Orlando FL 32856-0341 Ph: (407) 900-6605 | Living Well 924 N Magnolia Ave Suite 314 Orlando FL 32803-3852 Ph: (407) 900-6605 |
| NPI Number | 1619236429 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 7416395603 |
|---|---|
| Medicare Enrollment ID | O20240408001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619236429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH 5144 (Florida) | Primary |
| Provider Name | Andrea Jacqueline Garwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639260300 PECOS PAC ID: 0143668335 Enrollment ID: I20240611002834 |
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