Organization
FAMILY LIFE SERVICES MINISTRIES & TCM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALICIA L HENINGBURG MS, LMHC (CEO)
(407) 518-9506
Entity
Organization
Contact information
Practice address
721 OAK COMMONS BLVD STE A, KISSIMMEE, FL 34741-4186
(407) 518-9505
(407) 518-9507
Mailing address
721 OAK COMMONS BLVD STE A, KISSIMMEE, FL 34741-4186
(407) 518-9505
(407) 518-9507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
FL
251S00000X
Community/Behavioral Health Agency
Primary
MH 11963
FL
Other
Enumeration date
06/01/2016
Last updated
03/17/2018
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