Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Well Collective Co

Organization Health Service Clinic/Center · NPI 1700460250

Living Well Collective Co is a Health Service Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

12400 Yellow Bluff Rd Ste 107
Jacksonville, FL 32226-5070
Phone: (904) 339-5937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1700460250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carissa Dore — Ceo · (904) 339-5937
NPI enumeratedMay 11, 2021
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address12400 Yellow Bluff Rd Ste 107, Jacksonville, FL 32226-5070

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