Organization
THE CENTER OF LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RICHARDS (LMHC, OWNER)
(407) 476-1432
Entity
Organization
Contact information
Practice address
300 N. RONALD REAGAN BLVD. #302, LONGWOOD, FL 32779
(407) 476-1432
Mailing address
300 N. RONALD REAGAN BLVD. #302, LONGWOOD, FL 32779
(407) 476-1432
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215375548
—
FL
Enumeration date
11/27/2018
Last updated
11/27/2018
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