Organization
LIVING BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA LAWSON VAN DAM LMHC (OWNER)
(850) 687-5105
Entity
Organization
Contact information
Practice address
151 MARY ESTHER BLVD STE 507, MARY ESTHER, FL 32569-1976
(850) 687-5105
Mailing address
226 WINDWARD WAY, NICEVILLE, FL 32578-4328
(850) 678-5105
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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