Organization
LIFE COUNSELING PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJA GILBERT (CEO)
(800) 990-0340
Entity
Organization
Contact information
Practice address
403 LITHIA PINECREST RD, BRANDON, FL 33511-6138
(800) 990-0340
Mailing address
2260 PALM BEACH LAKES BLVD, SUITE 212, WEST PALM BEACH, FL 33409-3411
(800) 990-0340
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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