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Organization
LIFE SHAPE CENTER LLC
Active
Organization
LIFE SHAPE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KERNS (OWNER/MANAGER)
(561) 379-4337
Entity
Organization
Contact information
Practice address
2575 LONE PINE RD, WEST PALM BEACH, FL 33410-2447
(561) 379-4337
Mailing address
PO BOX 30004, PALM BEACH GARDENS, FL 33420-0004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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