MEDICARE: LIVING HAPPILY, LLC

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	1041C0700X	Clinical Social Worker	SW12944	FL

General Provider Information

NPI Number	:	1558739284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING HAPPILY, LLC

Provider Business Mailing Address
First Line	:	15050 ELDERBERRY LN
Second Line	:	4-3
City	:	FORT MYERS
State	:	FL
Zip	:	33907-8504
Country	:	US
Telephone Number	:	239-208-2217
Fax Number	:	239-437-8099

Provider Business Practice Location Address
First Line	:	15050 ELDERBERRY LN
Second Line	:	4-3
City	:	FORT MYERS
State	:	FL
Zip	:	33907-8504
Country	:	US
Telephone Number	:	239-208-2217
Fax Number	:	239-437-8099

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	MRS. MICHELLE LEAH SCHOENFELD
Credential	:	LCSW
Telephone Number	:	239-208-2217

Provider Enumeration Date	:	09/11/2015
Last Update Date	:	11/04/2015

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