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Organization
WTJ AND ASSOCIATES
Active
Organization
WTJ AND ASSOCIATES
Active
Other names
Life Choice Aolutions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D HAYWARD LMHC MCAP (PRESIDENT)
(561) 797-0480
Entity
Organization
Contact information
Practice address
7551 WILES RD STE 105A, CORAL SPRINGS, FL 33067-2064
(561) 797-0480
(754) 240-4953
Mailing address
7551 WILES RD STE 105A, CORAL SPRINGS, FL 33067-2064
(561) 797-0480
(754) 240-4953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
17-06-AD-747201
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1706AD747201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12003631
CAQH
FL
01
—
12003683
CAQH
FL
01
—
14555
FLORIDA DEPARTMENT OF HEALTH
FL
01
—
14560
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
12/18/2009
Last updated
12/23/2019
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