| Life Seasons Counseling Services | |
|
1987 S Lincoln Ave Vineland NJ 08361-7232 | |
| (609) 501-5062 | |
| Not Available |
| Full Name | Life Seasons Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1987 S Lincoln Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Tammy Vaughn (OWNER) |
| Authorized Official Contact | 6095015062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Seasons Counseling Services 4444 Arbutus Ave Newfield NJ 08344-2129 Ph: (609) 501-5062 | Life Seasons Counseling Services 1987 S Lincoln Ave Vineland NJ 08361-7232 Ph: (609) 501-5062 |
| NPI Number | 1033723507 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 0345688131 |
|---|---|
| Medicare Enrollment ID | O20240328003200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033723507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tammy Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720468291 PECOS PAC ID: 0244677284 Enrollment ID: I20240326001622 |
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