Provider Demographics
NPI:1689476038
Name:HEAL, LAUGH, LOVE, LIVE, LLC
Entity type:Organization
Organization Name:HEAL, LAUGH, LOVE, LIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-206-0710
Mailing Address - Street 1:1345 CR 441
Mailing Address - Street 2:
Mailing Address - City:LAKE PANASOFFKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33538-5467
Mailing Address - Country:US
Mailing Address - Phone:352-446-1506
Mailing Address - Fax:
Practice Address - Street 1:1345 CR 441
Practice Address - Street 2:
Practice Address - City:LAKE PANASOFFKEE
Practice Address - State:FL
Practice Address - Zip Code:33538-5467
Practice Address - Country:US
Practice Address - Phone:352-446-1506
Practice Address - Fax:352-504-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty