Organization
WISDOM FOR LIVING,.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN R VANKORLAAR LMHC (PRESIDENT/CEO)
(321) 946-3341
Entity
Organization
Contact information
Practice address
1420 CELEBRATION BLVD, SUITE 200, CELEBRATION, FL 34747-5159
(863) 421-7069
(863) 422-3275
Mailing address
40124 HIGHWAY 27, SUITE 104, DAVENPORT, FL 33837-5905
(863) 421-7069
(863) 422-3275
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH4228
FL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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