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Organization

ELYSIAN LIFE COACHING AND COUNSELING SERVICES PLLC

Active
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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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