Organization
LIVES MATTER MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TWYLA NEWMAN (CEO)
(863) 812-0471
Entity
Organization
Contact information
Practice address
3445 SUMMIT LN, LAKELAND, FL 33810-4457
(863) 812-0471
Mailing address
3445 SUMMIT LN, LAKELAND, FL 33810-4457
(863) 812-0471
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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