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Organization
LIFEGUIDE, LLC
Active
Organization
LIFEGUIDE, LLC
Active
Other names
Lifeguide, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSHOLA A LAWAL (CEO)
(850) 345-8732
Entity
Organization
Contact information
Practice address
1416 NE 5TH CT APT 4, FORT LAUDERDALE, FL 33301-1272
(850) 345-8732
Mailing address
1416 NE 5TH CT APT 4, FORT LAUDERDALE, FL 33301-1272
(850) 345-8732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834950
—
FL
Enumeration date
04/26/2021
Last updated
04/26/2021
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