Life Skills Associates Inc | |
924 N Magnolia Ave Ste 317 Orlando FL 32803-8850 | |
(407) 843-1455 | |
(407) 843-1456 |
Full Name | Life Skills Associates Inc |
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Speciality | Social Worker |
Location | 924 N Magnolia Ave, Orlando, Florida |
Authorized Official Name and Position | Leonie D Larmond (PRESIDENT) |
Authorized Official Contact | 4078431455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Skills Associates Inc 924 N Magnolia Ave Ste 317 Orlando FL 32803-8850 Ph: (407) 843-1455 | Life Skills Associates Inc 924 N Magnolia Ave Ste 317 Orlando FL 32803-8850 Ph: (407) 843-1455 |
NPI Number | 1023081940 |
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Provider Enumeration Date | 02/10/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2769475458 |
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Medicare Enrollment ID | O20040407000988 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023081940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 7809 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | SW3121 (Florida) | Primary |
Provider Name | Leonie Larmond |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124099460 PECOS PAC ID: 9436142122 Enrollment ID: I20040407001065 |
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