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Organization

LIVEWELL INTEGRATIVE 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
8249 DEVEREUX DR STE 101, MELBOURNE, FL 32940-7955
(321) 259-1662
(321) 779-7729
Mailing address
200 S HARBOR CITY BLVD STE 401, MELBOURNE, FL 32901-1389
(321) 446-7150

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary

Other

Enumeration date
03/17/2021
Last updated
07/09/2025
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