Livwell Behavioral Health and Forensic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIVWELL BEHAVIORAL HEALTH AND FORENSIC SERVICES

Practice address

10475 Gandy Blvd N Unit 2101
Saint Petersburg, FL 33702-2494

Phone

(703) 473-3073

NPI assigned

Jun 3, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olivia Bango, LCSWNPI 1265370183

Title

Licensed Clinical Social Worker

Phone

(703) 473-3073

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Bango, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1265370183
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1700719515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 GANDY BLVD N UNIT 2101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022494",
            "telephone_number": "703-473-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 GANDY BLVD N UNIT 2101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022494",
            "telephone_number": "703-473-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVWELL BEHAVIORAL HEALTH AND FORENSIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BANGO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "703-473-3073",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Little
• Lynn Roxann Littlejohn-Cyr, CRNA
• Michael Ted Liu
• Living Home Health Care LLC
• Kay Livingston, RN
• Yusleydi Alonso Llerena, APRN
• Drita Llolla
• Bonnie Watson Lloyd, D.O.
• Emily Waterman Lluch, MD
• Percy Hsu Lo, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.