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Organization
LIFE ENRICHMENT COUNSELING SERVICE LLC
Active
Organization
LIFE ENRICHMENT COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN AUSTIN-DANNER MSW, LCSW (OWNER/PROVIDER)
(407) 399-6311
Entity
Organization
Contact information
Practice address
1515 PARK CENTER DR, SUITE 2M, ORLANDO, FL 32835-5794
(407) 399-6311
(407) 730-4636
Mailing address
7991 CANYON LAKE CIR, ORLANDO, FL 32835-5383
(407) 399-6311
(407) 298-6618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699005298
NPPES--INDIVIDUAL NPI NUMBER
FL
Enumeration date
06/20/2010
Last updated
08/31/2011
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