Organization
LIFE-SPIRE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE PONDER MSW, LCSW (OWNER)
(386) 400-3100
Entity
Organization
Contact information
Practice address
780 DELTONA BLVD STE 102, DELTONA, FL 32725-7128
(386) 400-3100
(386) 968-3257
Mailing address
780 DELTONA BLVD STE 102, DELTONA, FL 32725-7128
(386) 400-3100
(386) 968-3257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/16/2018
Last updated
04/10/2025
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