Organization
CENTER FOR LIFE ENHANCEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL G SEITZ MSW, LCSW, CCM (OWNER)
(321) 698-3594
Entity
Organization
Contact information
Practice address
21 W FEE AVE, SUITE C, MELBOURNE, FL 32901
(321) 951-3949
(321) 951-3987
Mailing address
21 W FEE AVE, SUITE C, MELBOURNE, FL 32901
(321) 951-3949
(321) 951-3987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6564
FL
Other
Enumeration date
11/08/2006
Last updated
11/02/2021
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