Organization
SMART LIVING COACHING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WHITE PH.D. (OWNER)
(480) 323-9742
Entity
Organization
Contact information
Practice address
6050 34TH ST W APT 121, BRADENTON, FL 34210-3602
(480) 323-9742
Mailing address
PO BOX 2062, SARASOTA, FL 34230-2062
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY8659
FL
Other
Enumeration date
03/18/2017
Last updated
09/14/2023
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