| For A Whole Life, Llc | |
|
1440 Coral Ridge Drive Suite 476 Coral Springs FL 33071-5433 | |
| (954) 247-1320 | |
| Not Available |
| Full Name | For A Whole Life, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1440 Coral Ridge Drive, Coral Springs, Florida |
| Authorized Official Name and Position | Melissa Nugent (OWNER) |
| Authorized Official Contact | 9542471320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| For A Whole Life, Llc 1440 Coral Ridge Dr Ste 476 Coral Springs FL 33071-5433 Ph: (954) 247-1320 | For A Whole Life, Llc 1440 Coral Ridge Drive Suite 476 Coral Springs FL 33071-5433 Ph: (954) 247-1320 |
| NPI Number | 1710509856 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710509856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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