| Life Excel, Llc | |
|
35 Beaverson Blvd Suite 1-d Brick NJ 08723-7812 | |
| (732) 920-7933 | |
| (732) 920-2966 |
| Full Name | Life Excel, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 35 Beaverson Blvd, Brick, New Jersey |
| Authorized Official Name and Position | Lora Barry Speiser (SOCIAL WORKER) |
| Authorized Official Contact | 7329207933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Excel, Llc 35 Beaverson Blvd Suite 1-d Brick NJ 08723-7812 Ph: (732) 920-7933 | Life Excel, Llc 35 Beaverson Blvd Suite 1-d Brick NJ 08723-7812 Ph: (732) 920-7933 |
| NPI Number | 1477698827 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477698827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44SC00663800 (New Jersey) | Primary |
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