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Organization

LIFE SKILLS INSTITUTE COMPANY NATHAN'S PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DORETHA MICHELE MCBRIDE LCSW, CADC (OWNER/CEO/THERAPIST)
(219) 226-5567
Entity
Organization

Contact information

Practice address
509 MILLIFIORA LN, KISSIMMEE, FL 34759-4336
(219) 226-5567
(863) 496-5338
Mailing address
509 MILLIFIORA LN, KISSIMMEE, FL 34759-4336
(219) 226-5567
(863) 496-5338

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34007000A
IN

Other

Enumeration date
07/21/2016
Last updated
04/11/2023
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