Healthcare Provider Details

I. General information

NPI: 1730955097
Provider Name (Legal Business Name): LIT SESSION HOLISTIC INTEGRATIVE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 SE 14TH ST
GAINESVILLE FL
32641-3136
US

IV. Provider business mailing address

9200 NW 39TH AVE # 3109
GAINESVILLE FL
32606-7331
US

V. Phone/Fax

Practice location:
  • Phone: 352-559-5001
  • Fax:
Mailing address:
  • Phone: 352-559-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282J00000X
TaxonomyReligious Nonmedical Health Care Institution
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA ASHLEY TAYLOR
Title or Position: CEO
Credential: PHD, LMHC, QS
Phone: 352-559-5001