# LIFE CYCLES GUARDIANSHIP FOUNDATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457423006
- **Authorized official:** MS. JOANNE WALLACE TUTTLE MA, RG, CMC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (813) 933-2030

## Contact information

- **Practice address:** 8910 N DALE MABRY HWY, SUITE 23, TAMPA, FL 33614-1591
- **Practice address phone:** (813) 933-2030
- **Practice address fax:** (813) 933-2070
- **Mailing address:** 8910 N DALE MABRY HWY, SUITE 23, TAMPA, FL 33614-1591
- **Mailing address phone:** (813) 933-2030
- **Mailing address fax:** (813) 933-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020