Organization
LIVE YOUR BEST LIFE COUNSLEING AND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HEITZMANN (PRESIDENT)
(920) 698-0019
Entity
Organization
Contact information
Practice address
1226 N 8TH ST STE 103, SHEBOYGAN, WI 53081-3404
(920) 698-0019
(920) 803-0337
Mailing address
1226 NORTH 8TH STREET SUITE 103, SHEBOYGAN, WI 53081
(920) 698-0019
(920) 803-0337
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5624125
WI
101YP2500X
Professional Counselor
Primary
5630125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032020
—
WI
Enumeration date
08/31/2015
Last updated
08/31/2015
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