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LIDERAZGO Y ESTILO DE VIDA, INC
NPI 1386295095
Clinic/Center - Mental Health (Including Community Mental Health Center) in Winter Haven, FL

Active since September 24, 2019
1604 17TH TER NE, WINTER HAVEN, FL 33881(863) 288-1635 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2021, Sep 24, 2019 (2 updates tracked since 2019).

About Liderazgo Y Estilo De Vida, Inc NPPES

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

LIDERAZGO Y ESTILO DE VIDA, INC (NPI 1386295095) is a healthcare organization registered as a mental health (including community mental health center) in Winter Haven, Florida and active in the NPI registry since September 2019. The organization lists Abraham Tirado Ayala, Mental Health Care, as its authorized official.

NPPES Registry Identity

NPI1386295095
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIDERAZGO Y ESTILO DE VIDA TRANSFORMACIONAL, INC
Location Address1604 17TH TER NEWinter Haven, FL 33881-4416
Mailing Address1604 17th Ter NeWinter Haven, FL 33881-4416 · (863) 288-1635
Phone(863) 288-1635
Organization SubpartNo
Authorized OfficialAbraham Tirado AyalaMental Health Care · (863) 288-1635
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1386295095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedLocal Education Agency (LEA)Taxonomy 251300000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
Also ListedReligious Nonmedical Health Care InstitutionTaxonomy 282J00000X
1604 17TH TER NE, Winter Haven, FL 33881
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Other Names 1

Other NameLiderazgo Y Estilo De Vida, Inc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABRAHAM TIRADO AYALA CBHCM
Counselor (Addiction (Substance Use Disorder))
1604 17TH TER NE
WINTER HAVEN, FL 33881
Polk County (863) 288-1635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liderazgo Y Estilo De Vida Transformacional, Inc's NPI number?

The NPI number for Liderazgo Y Estilo De Vida Transformacional, Inc is 1386295095. It was assigned to this organization in the NPPES registry on September 24, 2019. The provider is also known as Liderazgo Y Estilo De Vida, Inc.

Where is Liderazgo Y Estilo De Vida Transformacional, Inc located?

Liderazgo Y Estilo De Vida Transformacional, Inc is located at 1604 17th Ter NE, Winter Haven, FL 33881. The listed phone number is (863) 288-1635.

What is Liderazgo Y Estilo De Vida Transformacional, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Liderazgo Y Estilo De Vida Transformacional, Inc was last updated on July 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.