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General NPI Number Information
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NPI Number | 1558241596
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Entity Type | Organization
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Legal Business Name | LIVEWELL BEHAVIORAL CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 5853 MILLAY CT
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4524
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Country | US
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Telephone | 813-650-7535
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Fax |
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Provider Business Mailing Address
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Address Line | 5853 MILLAY CT
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4524
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Country | US
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Telephone | 813-650-7535
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | VICTORIA M DUNN
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Credential | MS, BCBA
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Telephone | 813-650-7535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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