Livewell Gainesville, LLC

NPI #1104568039 in Gainesville, Florida

Provider Information

NPI Number: 1104568039
Entity Type: Organization
Organization Name: Livewell Gainesville, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 11, 2022
Last Updated: Jan 8, 2024

Practice Location

Address: 310 NW 76TH DR STE B
City: Gainesville
State: Florida
ZIP Code: 32607-6661
Phone: (352) 900-3130

Authorized Official

Name: WENDY GIBBS, LMFT
Title: LMFT, QUALIFIED SUPERVISOR, OWNER
Phone: (352) 900-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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