Organization
LIFE AT SEVEN SPRINGS
Active
Organization
LIFE AT SEVEN SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA KENNEY LMHC (PRESIDENT)
(954) 651-5164
Entity
Organization
Contact information
Practice address
4367 N FEDERAL HWY, SUITE 201, FORT LAUDERDALE, FL 33308-5213
(954) 651-5164
Mailing address
4367 N FEDERAL HWY, SUITE 201, FORT LAUDERDALE, FL 33308-5213
(954) 651-5164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH 10993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
—
Enumeration date
01/16/2013
Last updated
01/21/2014
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