Organization
LIVWELL BEHAVIORAL HEALTH AND FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA BANGO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(703) 473-3073
Entity
Organization
Contact information
Practice address
10475 GANDY BLVD N UNIT 2101, SAINT PETERSBURG, FL 33702-2494
(703) 473-3073
Mailing address
10475 GANDY BLVD N UNIT 2101, SAINT PETERSBURG, FL 33702-2494
(703) 473-3073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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