| Living Streams Counseling Llc | |
|
2290 10th Ave N Ste 404 Lake Worth FL 33461-6618 | |
| (561) 704-3207 | |
| (561) 469-9390 |
| Full Name | Living Streams Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2290 10th Ave N Ste 404, Lake Worth, Florida |
| Authorized Official Name and Position | Rafael D Acosta (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5617043207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Streams Counseling Llc 2290 10th Ave N Ste 404 Lake Worth FL 33461-6618 Ph: (561) 704-3207 | Living Streams Counseling Llc 2290 10th Ave N Ste 404 Lake Worth FL 33461-6618 Ph: (561) 704-3207 |
| NPI Number | 1619467222 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619467222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (Florida) | Secondary |
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