Organization
LIVING WELL PSYCHOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FISCHER-PETERS L.C.S.W. (OWNER)
(727) 391-9800
Entity
Organization
Contact information
Practice address
13800 PARK BLVD STE 206, SEMINOLE, FL 33776-3439
(727) 391-9800
(727) 391-9882
Mailing address
13800 PARK BLVD STE 206, SEMINOLE, FL 33776-3439
(727) 391-9800
(727) 391-9882
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
12/17/2012
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