Organization
ELYSIAN LIFE COACHING AND COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYA COATES CHARLES LCSW INTERN (LCSW INTERN)
(863) 266-6024
Entity
Organization
Contact information
Practice address
340 W CENTRAL AVE STE 330, WINTER HAVEN, FL 33880-2967
(863) 266-6024
Mailing address
340 W CENTRAL AVE STE 330, WINTER HAVEN, FL 33880-2967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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