Organization
A BEAUTILFUL LIFE CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JACKSON (CEO)
(954) 663-8045
Entity
Organization
Contact information
Practice address
2000 NW 1ST ST, BOYNTON BEACH, FL 33435-2286
(954) 663-8045
Mailing address
2773 WINDSWEPT DR, #103, LANTANA, FL 33462-2470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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