Organization
ANNA LIVELY, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LIVELY LMHC (OWNER)
(813) 928-5335
Entity
Organization
Contact information
Practice address
1210 W DEL WEBB BLVD, SUN CITY CENTER, FL 33573-5224
(813) 928-5335
Mailing address
PO BOX 752, BALM, FL 33503-0752
(813) 928-5335
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH12213
FL
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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