Organization
LIFE COUNSELING PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJA GILBERT (CEO)
(561) 684-7300
Entity
Organization
Contact information
Practice address
1155 LOUISIANA AVE, SUITE 207, WINTER PARK, FL 32789-2341
(561) 684-7300
Mailing address
2260 PALM BEACH LAKES BLVD, SUITE 212, WEST PALM BEACH, FL 33409-3411
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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