Organization
MRM FAMILY COUNSELING SERVICES, INC.
Active
Other names
Livewell Behavioral Health Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RENEE MCCOY (OWNER)
(559) 644-0436
Entity
Organization
Contact information
Practice address
1300 E SHAW AVE STE 149, FRESNO, CA 93710-7903
(559) 554-9710
(559) 554-9711
Mailing address
1300 E SHAW AVE STE 149, FRESNO, CA 93710-7903
(559) 554-9710
(559) 554-9711
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
80212
CA
251S00000X
Community/Behavioral Health Agency
Primary
80212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649395419
INDIVIDUAL NPI NUMBER
CA
Enumeration date
12/15/2015
Last updated
04/14/2026
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