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Organization

LYFSTYL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRIE ANDREWS PHD (CEO)
(904) 803-7599
Entity
Organization

Contact information

Practice address
4431 WORTH DR W, JACKSONVILLE, FL 32207-7504
(904) 803-7599
Mailing address
4431 WORTH DR W, JACKSONVILLE, FL 32207-7504
(904) 803-7599

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TH0004X
Health Psychologist
Primary
103TP2701X
Group Psychotherapy Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
133N00000X
Nutritionist
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
2084P0800X
Psychiatry Physician

Other

Enumeration date
02/28/2025
Last updated
02/28/2025
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