LIFE COUNSELING PROFESSIONAL SERVICES - NPI 1073809901 - Community Based Residential Treatment Facility, Mental Illness in Brandon, FL

Q: What is the provider's specialty?

The provider's specialty is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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About Life Counseling Professional Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE COUNSELING PROFESSIONAL SERVICES (NPI 1073809901) is a healthcare organization registered as a community based residential treatment facility, mental illness in Brandon, Florida and active in the NPI registry since June 2011. The organization lists Deja Gilbert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073809901

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameLIFE COUNSELING PROFESSIONAL SERVICES

Location Address403 LITHIA PINECREST RDBrandon, FL 33511-6138

Mailing Address2260 Palm Beach Lakes Blvd, Suite 212West Palm Beach, FL 33409-3411 · (800) 990-0340

Phone(800) 990-0340

Organization SubpartNo

Authorized OfficialDeja GilbertCeo · (800) 990-0340

Enumeration DateJune 20, 2011

✔ NPI 1073809901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

403 LITHIA PINECREST RD, Brandon, FL 33511

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