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General NPI Number Information
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NPI Number | 1558739284
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Entity Type | Organization
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Legal Business Name | LIVING HAPPILY, LLC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 15050 ELDERBERRY LN 4-3
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City | FORT MYERS
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State | FL
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Zip | 33907-8504
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Country | US
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Telephone | 239-208-2217
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Fax | 239-437-8099
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Provider Business Mailing Address
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Address Line | 15050 ELDERBERRY LN 4-3
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City | FORT MYERS
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State | FL
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Zip | 33907-8504
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Country | US
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Telephone | 239-208-2217
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Fax | 239-437-8099
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MRS. MICHELLE LEAH SCHOENFELD
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Credential | LCSW
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Telephone | 239-208-2217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12944
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License Number State | FL
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