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ELYSIAN LIFE COACHING AND COUNSELING SERVICES PLLC
NPI 1629883665
Social Worker - Clinical in Winter Haven, FL

Active since February 07, 2025
340 W CENTRAL AVE STE 330, WINTER HAVEN, FL 33880(863) 266-6024 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elysian Life Coaching And Counseling Services Pllc NPPES

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

ELYSIAN LIFE COACHING AND COUNSELING SERVICES PLLC (NPI 1629883665) is a healthcare organization registered as a clinical in Winter Haven, Florida and active in the NPI registry since February 2025. The organization lists Kenya Coates Charles, Lcsw Intern, as its authorized official.

NPPES Registry Identity

NPI1629883665
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameELYSIAN LIFE COACHING AND COUNSELING SERVICES PLLC
Location Address340 W CENTRAL AVE STE 330Winter Haven, FL 33880-2967
Mailing Address340 W Central Ave Ste 330Winter Haven, FL 33880-2967
Phone(863) 266-6024
Organization SubpartNo
Authorized OfficialKenya Coates CharlesLcsw Intern · (863) 266-6024
Enumeration DateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1629883665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
340 W CENTRAL AVE STE 330, Winter Haven, FL 33880
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Elysian Life Coaching And Counseling Services PLLC's NPI number?

The NPI number for Elysian Life Coaching And Counseling Services PLLC is 1629883665. It was assigned to this organization in the NPPES registry on February 7, 2025.

Where is Elysian Life Coaching And Counseling Services PLLC located?

Elysian Life Coaching And Counseling Services PLLC is located at 340 W Central Ave Ste 330, Winter Haven, FL 33880. The listed phone number is (863) 266-6024.

What is Elysian Life Coaching And Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Elysian Life Coaching And Counseling Services PLLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.