Organization
ENRICHED LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZHEN YAN (OWNER)
(848) 219-0869
Entity
Organization
Contact information
Practice address
617 NW 36TH PL, CAPE CORAL, FL 33993-5568
(848) 219-0869
Mailing address
617 NW 36TH PL, CAPE CORAL, FL 33993-5568
(848) 219-0869
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/20/2023
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