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Organization
THERAPEUTIC LIFE SERVICES, INC
Active
Organization
THERAPEUTIC LIFE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOMEZ MS, LMHC, BCBA (MR.)
(305) 607-2896
Entity
Organization
Contact information
Practice address
16071 MICELLI DR, WINTER GARDEN, FL 34787-1821
(305) 607-2896
Mailing address
7830 NW 161ST TER, MIAMI LAKES, FL 33016-6677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/26/2020
Last updated
11/18/2022
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