Organization
FOR A WHOLE LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA NUGENT LCSW (OWNER)
(954) 247-1320
Entity
Organization
Contact information
Practice address
1440 CORAL RIDGE DRIVE, SUITE 476, CORAL SPRINGS, FL 33071-5433
(954) 247-1320
Mailing address
1440 CORAL RIDGE DR STE 476, CORAL SPRINGS, FL 33071-5433
(954) 247-1320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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