Organization
LIFEISBIEN THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA BIVINS (OWNER/LEAD THERAPIST)
(850) 396-2938
Entity
Organization
Contact information
Practice address
41 JONQUIL AVE NW, FORT WALTON BEACH, FL 32548-4534
(850) 396-2938
Mailing address
41 JONQUIL AVE NW, FORT WALTON BEACH, FL 32548-4534
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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