| Fullness Of Life Counseling, Llc | |
|
1103 9th Ave W Bradenton FL 34205-7717 | |
| (941) 800-1513 | |
| Not Available |
| Full Name | Fullness Of Life Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1103 9th Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Yesenia Reta (OWNER) |
| Authorized Official Contact | 9419622425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullness Of Life Counseling, Llc 1823 25th Ave E Bradenton FL 34208-7746 Ph: (941) 962-2425 | Fullness Of Life Counseling, Llc 1103 9th Ave W Bradenton FL 34205-7717 Ph: (941) 800-1513 |
| NPI Number | 1003312513 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003312513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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