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Organization
LIFE DISCOVERY COUNSELING CENTER
Active
Organization
LIFE DISCOVERY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN EATON (OFFICE ADMINISTRATOR)
(813) 264-8771
Entity
Organization
Contact information
Practice address
18371 EXCITING IDLEWILD BLVD, LUTZ, FL 33548
(813) 264-8771
(813) 964-8943
Mailing address
PO BOX 44, LUTZ, FL 33548
(813) 264-8771
(813) 964-8943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH3707
FL
101YM0800X
Mental Health Counselor
Primary
MH9814
FL
101YM0800X
Mental Health Counselor
MT1854
FL
101YM0800X
Mental Health Counselor
MT2503
FL
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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