PSYCHOLOGY OF ORIGINAL LOVE COUNSELING LLC. NPI 1053927319

NPI Information

NPI: 1053927319
Provider Name: PSYCHOLOGY OF ORIGINAL LOVE COUNSELING, LLC.

Former Legal Business Name: SALT & LIGHT, LLC.

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
599 CELEBRATION PL
CELEBRATION, FL
ZIP 34747
Phone: (321) 234-3000
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PSYCHOLOGY OF ORIGINAL LOVE COUNSELING, LLC. is a mental health (including community mental health center) clinic center in Celebration, FL. PSYCHOLOGY OF ORIGINAL LOVE COUNSELING, LLC. NPI is 1053927319. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Salt & Light, Llc..

The provider's business location address is:

599 CELEBRATION PL
CELEBRATION, FL
ZIP 34747-943
Phone: (321) 234-3000
Fax: (321) 400-1448

The provider's authorized official is Jill Kahli .
The authorized official title is Managing Partner and has the following contact phone number (321) 234-3000.

The enumeration date for this NPI number is 9/21/2020 and was last updated on 12/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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