Organization
BETHANY LIVINGSTON LMHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY LIVINGSTON LMHC (COUNSELOR/OWNER)
(321) 210-5562
Entity
Organization
Contact information
Practice address
915 BREAKAWAY TRL, TITUSVILLE, FL 32780-3263
(321) 210-5562
(321) 888-4980
Mailing address
915 BREAKAWAY TRL, TITUSVILLE, FL 32780-3263
(321) 210-5562
(321) 888-4980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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