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LIFE WELLNESS CENTER CORP NPI 1982228813


NPI Information

NPI: 1982228813
Provider Name: LIFE WELLNESS CENTER CORP
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 10D2121271

Address:
10556 NW 26TH ST STE D102
DORAL, FL
ZIP 33172
Phone: (786) 416-3463
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LIFE WELLNESS CENTER CORP is a community behavioral health in Doral, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFE WELLNESS CENTER CORP NPI is 1982228813. The provider is registered as an organization entity type.

The provider's business location address is:

10556 NW 26TH ST STE D102
DORAL, FL
ZIP 33172-943
Phone: (786) 416-3463

The provider's authorized official is Maria C Vallejo .
The authorized official title is President and has the following contact phone number (786) 416-3463.

The CLIA number assigned to this NPI record is 10D2121271 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2020 and was last updated on 6/6/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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: 11/14/2023

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