| Executive & Life Coaching, Inc. | |
|
44709 Date Ave Lancaster CA 93534-3101 | |
| (866) 726-7881 | |
| (661) 940-9317 |
| Full Name | Executive & Life Coaching, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44709 Date Ave, Lancaster, California |
| Authorized Official Name and Position | Colbert Bernard Williams (PSYCHOTHERAPIST/PRESIDENT) |
| Authorized Official Contact | 8667267881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive & Life Coaching, Inc. 2058 E Oldfield St Lancaster CA 93535-1727 Ph: (866) 726-7881 | Executive & Life Coaching, Inc. 44709 Date Ave Lancaster CA 93534-3101 Ph: (866) 726-7881 |
| NPI Number | 1306031257 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306031257 | NPI | - | NPPES |
| LCS18531 | Other | CA | B.B.S. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS18531 (California) | Primary |
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