# LIV LUV LAFF MINDFULNESS SERVICES

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

## Provider details

- **NPI number:** 1770347403
- **Authorized official:** BRIAN CLUKIE (ADMINISTRATOR)
- **Authorized official phone:** (813) 997-2099

## Contact information

- **Practice address:** 701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
- **Practice address phone:** (813) 997-2099
- **Mailing address:** 701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
- **Mailing address phone:** (813) 997-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024