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Organization
LIVWELL BEHAVIORAL HEALTH AND FORENSIC SERVICES
Active
Organization
LIVWELL BEHAVIORAL HEALTH AND FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA BANGO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(703) 473-3073
Entity
Organization
Contact information
Practice address
10475 GANDY BLVD N UNIT 2101, SAINT PETERSBURG, FL 33702-2494
(703) 473-3073
Mailing address
10475 GANDY BLVD N UNIT 2101, SAINT PETERSBURG, FL 33702-2494
(703) 473-3073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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