LIVEWELL GAINESVILLE LLC NPI 1104568039

NPI Information

  • NPI: 1104568039
  • Provider Name: LIVEWELL GAINESVILLE, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 310 NW 76TH DR STE B
    GAINESVILLE, FL
    ZIP 32607
  • Phone: (352) 900-3130

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NPI Details

LIVEWELL GAINESVILLE, LLC is a mental health counselor in Gainesville, FL. LIVEWELL GAINESVILLE, LLC NPI is 1104568039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 NW 76TH DR STE B
GAINESVILLE, FL
ZIP 32607-661
Phone: (352) 900-3130
Fax: (352) 283-8469

The provider's authorized official is Wendy Gibbs .
The authorized official title is Lmft, Qualified Supervisor, Owner and has the following contact phone number (352) 900-3130.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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