Organization
LIV LUV LAFF MINDFULNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLUKIE (ADMINISTRATOR)
(813) 997-2099
Entity
Organization
Contact information
Practice address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
(813) 997-2099
Mailing address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
(813) 997-2099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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