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Organization
THE WELL FOR LIFE, LLC
Active
Organization
THE WELL FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADONNA BUTLER LMHC (PRESIDENT/CEO)
(727) 251-0743
Entity
Organization
Contact information
Practice address
833 22ND ST S STE B, ST PETERSBURG, FL 33712-2250
(727) 251-0743
Mailing address
4290 NARVAREZ WAY S STE B, ST PETERSBURG, FL 33712-4039
(727) 251-0743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
—
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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