MEDICARE: LIVING WELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 5144	FL

General Provider Information

NPI Number	:	1144506536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING WELL

Provider Business Mailing Address
First Line	:	PO BOX 560182
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32856-0182
Country	:	US
Telephone Number	:	407-718-5380
Fax Number	:

Provider Business Practice Location Address
First Line	:	934 N MAGNOLIA AVE
Second Line	:	SUITE 119
City	:	ORLANDO
State	:	FL
Zip	:	32803-3840
Country	:	US
Telephone Number	:	407-718-5380
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/CEO
Name	:	ANDREA JACQUELINE GARWOOD
Credential	:	LMHC
Telephone Number	:	407-718-5380

Provider Enumeration Date	:	10/29/2011
Last Update Date	:	02/22/2024

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Directions to “LIVING WELL ” Practice Location

Language	Start Address	Practice Location

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