Living Well Collective Co
NPI 1700460250 · Mental Health Clinic/Center (Including Community Mental Health Center) · Jacksonville, FL
Living Well Collective Co is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Jacksonville, FL (NPI 1700460250).
Provider details
- NPI number
- 1700460250
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carissa Dore, Ceo(904) 339-5937
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Frequently asked questions
- What is Living Well Collective Co's NPI number?
- Living Well Collective Co's National Provider Identifier (NPI) is 1700460250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Well Collective Co?
- Living Well Collective Co is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Living Well Collective Co located?
- Living Well Collective Co's practice location on file with NPPES is 12400 Yellow Bluff Rd Ste 107, Jacksonville, FL 32226-5070.
- What is Living Well Collective Co's phone number?
- The practice phone number listed in the NPPES registry for Living Well Collective Co is (904) 339-5937.
- Who is the authorized official for Living Well Collective Co?
- The authorized official listed on Living Well Collective Co's NPPES record is Carissa Dore, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Well Collective Co's NPI active?
- Yes — Living Well Collective Co's NPI (1700460250) is active in the NPPES registry as of the last update on 2022-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.