THERAPEUTIC LIFE SERVICES INC NPI 1225641616

NPI Information

NPI: 1225641616
Provider Name: THERAPEUTIC LIFE SERVICES, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
16071 MICELLI DR
WINTER GARDEN, FL
ZIP 34787
Phone: (305) 607-2896
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THERAPEUTIC LIFE SERVICES, INC is a mental health counselor in Winter Garden, FL. THERAPEUTIC LIFE SERVICES, INC NPI is 1225641616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16071 MICELLI DR
WINTER GARDEN, FL
ZIP 34787-821
Phone: (305) 607-2896

The provider's authorized official is David Gomez .
The authorized official title is Mr. and has the following contact phone number (305) 607-2896.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 11/18/2022.

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	103K00000X	Behavior Analyst				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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