Healthcare Provider Details

I. General information

NPI: 1649109596
Provider Name (Legal Business Name): LIVING LIFE WELLNESS/DBA JUPITER COMMUNITY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 W INDIANTOWN RD # 202
JUPITER FL
33458-3928
US

IV. Provider business mailing address

1132 W INDIANTOWN RD # 202
JUPITER FL
33458-3928
US

V. Phone/Fax

Practice location:
  • Phone: 561-748-1244
  • Fax:
Mailing address:
  • Phone: 561-748-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN MARIE SEMICH
Title or Position: DIRECTOR OWNER
Credential: PHD, LMHC, LMFT
Phone: 561-310-7947