# CENTER FOR LIFE TRANSITIONS, PA

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

## Provider details

- **NPI number:** 1477727295
- **Authorized official:** MRS. CONSTANCE A STEGALL MFT (PRESIDENT)
- **Authorized official phone:** (239) 549-8342

## Contact information

- **Practice address:** 1505 SE 40TH ST STE E, CAPE CORAL, FL 33904-7913
- **Practice address phone:** (239) 549-8342
- **Mailing address:** 1505 SE 40TH ST STE E, CAPE CORAL, FL 33904-7913
- **Mailing address phone:** (239) 549-8342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT1991 | FL | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008
