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LIVALITY INTEGRATED HEALTH
NPI 1194507962
Nurse Practitioner - Psychiatric/Mental Health in Middleburg, FL

Active since October 17, 2023
1620 CORSAIR LN STE 201, MIDDLEBURG, FL 32068(904) 787-8850(833) 740-3601 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Livality Integrated Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVALITY INTEGRATED HEALTH (NPI 1194507962) is a healthcare organization registered as a psychiatric/mental health in Middleburg, Florida and active in the NPI registry since October 2023. The organization lists Tyquitta Perrier, Chief Clinical Officer/owner, as its authorized official.

NPPES Registry Identity

NPI1194507962
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVALITY INTEGRATED HEALTH
Location Address1620 CORSAIR LN STE 201Middleburg, FL 32068-8484
Mailing Address1075 Oakleaf Plantation Pkwy, Suite 304, Box 317Orange Park, FL 32065
Phone(904) 787-8850
Fax(833) 740-3601
Organization SubpartNo
Authorized OfficialTyquitta PerrierChief Clinical Officer/owner · (706) 289-2647
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1194507962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1620 CORSAIR LN STE 201, Middleburg, FL 32068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYQUITTA JANELL PERRIER FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1620 CORSAIR LN STE 201
MIDDLEBURG, FL 32068
Clay County (904) 787-8850
MRS. SHAVANNA KING PMHNP- BC
Nurse Practitioner (Psychiatric/Mental Health)
1620 CORSAIR LN STE 201
MIDDLEBURG, FL 32068
Clay County (904) 787-8850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Livality Integrated Health's NPI number?

The NPI number for Livality Integrated Health is 1194507962. It was assigned to this organization in the NPPES registry on October 17, 2023.

Where is Livality Integrated Health located?

Livality Integrated Health is located at 1620 Corsair Ln Ste 201, Middleburg, FL 32068. The listed phone number is (904) 787-8850.

What is Livality Integrated Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Livality Integrated Health was last updated on October 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.