| Life Changing Development Center | |
|
6191 Orange Dr Ste 6153b Davie FL 33314-3454 | |
| (833) 277-7733 | |
| Not Available |
| Full Name | Life Changing Development Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6191 Orange Dr Ste 6153b, Davie, Florida |
| Authorized Official Name and Position | Racquel Brown-mortimer (CO OWNER) |
| Authorized Official Contact | 8332777733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changing Development Center 6191 Orange Dr Ste 6153b Davie FL 33314-3454 Ph: (833) 277-7733 | Life Changing Development Center 6191 Orange Dr Ste 6153b Davie FL 33314-3454 Ph: (833) 277-7733 |
| NPI Number | 1700556875 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700556875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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