| The Center Of Life Counseling, Llc | |
|
300 N. Ronald Reagan Blvd. #302 Longwood FL 32779 | |
| (407) 476-1432 | |
| Not Available |
| Full Name | The Center Of Life Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 300 N. Ronald Reagan Blvd. #302, Longwood, Florida |
| Authorized Official Name and Position | Jessica Richards (LMHC, OWNER) |
| Authorized Official Contact | 4074761432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center Of Life Counseling, Llc 300 N. Ronald Reagan Blvd. #302 Longwood FL 32779 Ph: (407) 476-1432 | The Center Of Life Counseling, Llc 300 N. Ronald Reagan Blvd. #302 Longwood FL 32779 Ph: (407) 476-1432 |
| NPI Number | 1992275598 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 11/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992275598 | NPI | - | NPPES |
| 1215375548 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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