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Organization
LIVEWELL BEHAVIORAL HEALTH CORP
Active
Organization
LIVEWELL BEHAVIORAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELE RONSISVALLE (CHIEF OPERATIONS OFFICER)
(321) 259-1662
Entity
Organization
Contact information
Practice address
200 S HARBOR CITY BLVD, MELBOURNE, FL 32901-1384
(321) 259-1662
Mailing address
200 S HARBOR CITY BLVD STE 401, MELBOURNE, FL 32901-1389
(321) 259-1662
(321) 779-7729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/09/2020
Last updated
07/09/2025
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