Organization
LIVING STREAMS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL D ACOSTA MA (LICENSED MENTAL HEALTH COUNSELOR)
(561) 704-3207
Entity
Organization
Contact information
Practice address
2290 10TH AVE N STE 404, LAKE WORTH, FL 33461-6618
(561) 704-3207
(561) 469-9390
Mailing address
2290 10TH AVE N STE 404, LAKE WORTH, FL 33461-6618
(561) 704-3207
(561) 469-9390
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
305S00000X
Point of Service
—
FL
Other
Enumeration date
05/18/2018
Last updated
09/25/2023
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