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Organization
GREATER GOOD LIFE SERVICES LLC
Active
Organization
GREATER GOOD LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER STAMBAUGH (OWNER)
(863) 271-7972
Entity
Organization
Contact information
Practice address
2033 E EDGEWOOD DR, SUITE 4, LAKELAND, FL 33803-3660
(863) 271-7972
Mailing address
2033 E EDGEWOOD DR, SUITE 4, LAKELAND, FL 33803-3660
(863) 271-7972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007986200
—
FL
Enumeration date
02/24/2017
Last updated
02/24/2017
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