| Life Paths Of Florida Llc | |
|
1600 W Eau Gallie Blvd Suite 201-h Melbourne FL 32935-4149 | |
| (321) 622-5250 | |
| (321) 622-5250 |
| Full Name | Life Paths Of Florida Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1600 W Eau Gallie Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Joye D Heal (GENERAL PARTNER) |
| Authorized Official Contact | 3216225250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Paths Of Florida Llc 1600 W Eau Gallie Blvd Suite 201-h Melbourne FL 32935-4149 Ph: (321) 622-5250 | Life Paths Of Florida Llc 1600 W Eau Gallie Blvd Suite 201-h Melbourne FL 32935-4149 Ph: (321) 622-5250 |
| NPI Number | 1700019585 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700019585 | NPI | - | NPPES |
| 764145100 | Medicaid | FL | |
| MH 9781 | Other | FL | LMHC |
| MH 9197 | Other | FL | LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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