1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Clinic Center
  6. NPI Profile

LIVING WELL COLLECTIVE CO
NPI 1700460250
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, FL

Active since May 11, 2021
12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL 32226(904) 339-5937 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Living Well Collective Co NPPES

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

LIVING WELL COLLECTIVE CO (NPI 1700460250) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Florida and active in the NPI registry since May 2021. The organization lists Carissa L Dore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700460250
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIVING WELL COLLECTIVE CO
Location Address12400 YELLOW BLUFF RD STE 107Jacksonville, FL 32226-5070
Mailing Address12400 Yellow Bluff Rd Ste 107Jacksonville, FL 32226-5070 · (904) 339-5937 · Fax (904) 615-6978
Phone(904) 339-5937
Organization SubpartNo
Authorized OfficialCarissa L DoreCeo · (904) 339-5937
Enumeration DateMay 11, 2021
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1700460250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
12400 YELLOW BLUFF RD STE 107, Jacksonville, FL 32226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

MR. CHARLES DEAN III LMHC
Counselor (Mental Health)
12400 YELLOW BLUFF RD STE 107
JACKSONVILLE, FL 32226
Duval County (904) 254-8421
MS. CARISSA LYNETTE DORE LMHC
Counselor (Mental Health)
12400 YELLOW BLUFF RD STE 107
JACKSONVILLE, FL 32226
Duval County (904) 339-5937

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 Living Well Collective Co's NPI number?

The NPI number for Living Well Collective Co is 1700460250. It was assigned to this organization in the NPPES registry on May 11, 2021.

Where is Living Well Collective Co located?

Living Well Collective Co is located at 12400 Yellow Bluff Rd Ste 107, Jacksonville, FL 32226. The listed phone number is (904) 339-5937.

What is Living Well Collective Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Living Well Collective Co accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Living Well Collective Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Living Well Collective Co was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.