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Organization
LIVEWELL GAINESVILLE, LLC
Active
Organization
LIVEWELL GAINESVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY GIBBS LMFT (LMFT, QUALIFIED SUPERVISOR, OWNER)
(352) 900-3130
Entity
Organization
Contact information
Practice address
310 NW 76TH DR STE B, GAINESVILLE, FL 32607-6661
(352) 900-3130
(352) 283-8469
Mailing address
310 NW 76TH DR STE B, GAINESVILLE, FL 32607-6661
(352) 900-3130
(352) 283-8469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/11/2022
Last updated
01/08/2024
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