Organization
FULL LIFE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNA MEDEIROS LUPO LMHC, LPC (OWNER AND CLINICIAN)
(407) 529-7662
Entity
Organization
Contact information
Practice address
9764 N ARROWWOOD RD, MEQUON, WI 53092-4703
(407) 529-7662
Mailing address
1347 SIMMONS RD, KISSIMMEE, FL 34744-5629
(407) 529-7662
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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