Healthcare Provider Details

I. General information

NPI: 1104775683
Provider Name (Legal Business Name): HEALTHY LIVING COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 SPRING CENTRE SOUTH BLVD STE 203
ALTAMONTE SPRINGS FL
32714-1991
US

IV. Provider business mailing address

1180 SPRING CENTRE SOUTH BLVD STE 203
ALTAMONTE SPRINGS FL
32714-1991
US

V. Phone/Fax

Practice location:
  • Phone: 407-340-2474
  • Fax:
Mailing address:
  • Phone: 407-340-2474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANA NOLAN
Title or Position: OWNER
Credential: LMHC
Phone: 407-340-2474