Individual
ANNA LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
305 KELSEY WAY, SUN CITY CENTER, FL 33573-6135
(813) 928-5335
Mailing address
PO BOX 752, BALM, FL 33503-0752
(813) 928-5335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH12213
FL
101YM0800X
Mental Health Counselor
Primary
MH12213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
777777777
WONT LET ME SAVE WITHOUT IT
—
Enumeration date
03/24/2014
Last updated
06/01/2021
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