Organization
LIFE SKILLS INSTITUTE COMPANY NATHAN'S PLACE
Active
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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