# LIVING WELL PSYCHOTHERAPY ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548205917
- **Authorized official:** JILL FISCHER-PETERS L.C.S.W. (OWNER)
- **Authorized official phone:** (727) 391-9800

## Contact information

- **Practice address:** 13800 PARK BLVD STE 206, SEMINOLE, FL 33776-3439
- **Practice address phone:** (727) 391-9800
- **Practice address fax:** (727) 391-9882
- **Mailing address:** 13800 PARK BLVD STE 206, SEMINOLE, FL 33776-3439
- **Mailing address phone:** (727) 391-9800
- **Mailing address fax:** (727) 391-9882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 12/17/2012