Organization
CHANGING LIVES COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELMA R REYES LMHC (OWNER/ AGENT)
(813) 416-6841
Entity
Organization
Contact information
Practice address
3000 GULF TO BAY BLVD, STE 210, CLEARWATER, FL 33759-4321
(813) 416-6841
Mailing address
3000 GULF TO BAY BLVD, STE 210, CLEARWATER, FL 33759-4321
(813) 416-6841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9542
FL
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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