NPI 1003408352
Life Fully Lived, LLC
Practice location
- Address
- 19 Brandywine Blvd, Talleyville, DE 19803-1838
- Phone
- (302) 703-7779
Authorised official
- Name
- Megan Doyle
- Title
- Owner
- Phone
- (443) 466-7038
Registered specialties (4)
Mental Health Counselor
Primary
Psychologist
Clinical Social Worker
Nurse Practitioner
Registry record
- NPI
- 1003408352
- Entity type
- Organization
- NPI issued
- 8 Feb 2021
- Record last updated
- 24 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.