Anna Lively, Lmhc
Clinic/Center, Mental Health (Including Community Mental Health Center) in Sun City Center, FL. Organization (NPI-2).
NPI number1982107462
StatusActive
Last updated in NPPESMar 12, 2018
Details
- NPI
- 1982107462
- Entity type
- Organization (NPI-2)
- Legal business name
- Anna Lively, Lmhc
- Organization subpart
- No
- Enumeration date
- Mar 12, 2018
- Last updated
- Mar 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | MH12213 | FL | Yes |
Practice location
1210 W Del Webb BlvdSun City Center, FL 33573-5224
Phone 813-928-5335
Mailing address
Po Box 752Balm, FL 33503-0752
Phone 813-928-5335
Authorized official
Anna Lively
Owner
8139285335
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