| Life Skills Institute Company Nathan's Place | |
|
509 Millifiora Ln Kissimmee FL 34759-4336 | |
| (219) 226-5567 | |
| (863) 496-5338 |
| Full Name | Life Skills Institute Company Nathan's Place |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 509 Millifiora Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Doretha Michele Mcbride (OWNER/CEO/THERAPIST) |
| Authorized Official Contact | 2192265567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Skills Institute Company Nathan's Place 509 Millifiora Ln Kissimmee FL 34759-4336 Ph: (219) 226-5567 | Life Skills Institute Company Nathan's Place 509 Millifiora Ln Kissimmee FL 34759-4336 Ph: (219) 226-5567 |
| NPI Number | 1952754301 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952754301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34007000A (Indiana) | Primary |
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