# CENTER OF LIFE HEALTH, INC.

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

## Provider details

- **NPI number:** 1750453270
- **Authorized official:** MS. KATHLEEN SUE FULLER L.M.H.C. (DIRECTOR)
- **Authorized official phone:** (772) 220-4556

## Contact information

- **Practice address:** 322 SW OCEAN BLVD, STUART, FL 34994
- **Practice address phone:** (772) 220-4556
- **Practice address fax:** (772) 220-2214
- **Mailing address:** 322 SW OCEAN BLVD, STUART, FL 34994
- **Mailing address phone:** (772) 220-4556
- **Mailing address fax:** (772) 220-2214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MH3692 | FL | Yes |
| 101YP2500X | Professional Counselor | MH3692 | FL | — |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 10/06/2010