NPI 1073809901
Life Counseling Professional Services
Practice location
- Address
- 403 Lithia Pinecrest Rd, Brandon, FL 33511-6138
- Phone
- (800) 990-0340
- Mailing address
- 2260 Palm Beach Lakes Blvd Suite 212, West Palm Beach, FL 33409-3411
Authorised official
- Name
- Deja Gilbert
- Title
- Ceo
- Phone
- (800) 990-0340
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1073809901
- Entity type
- Organization
- NPI issued
- 20 Jun 2011
- Record last updated
- 20 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.