Individual
BETHANY LYNNE LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5095 S WASHINGTON AVE STE 102, TITUSVILLE, FL 32780-7333
(321) 252-8485
Mailing address
915 BREAKAWAY TRL, TITUSVILLE, FL 32780-3263
(321) 210-5562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14088
FL
Other
Enumeration date
03/11/2016
Last updated
08/28/2019
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