Life Work Soul | |
3206 Hillsdale Ln Kissimmee FL 34741-7562 | |
(407) 530-5911 | |
(888) 216-6045 |
Full Name | Life Work Soul |
---|---|
Speciality | Community/behavioral Health |
Location | 3206 Hillsdale Ln, Kissimmee, Florida |
Authorized Official Name and Position | Melody L Kipp (PRESIDENT/CEO) |
Authorized Official Contact | 4075305911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Work Soul 3206 Hillsdale Ln Kissimmee FL 34741-7562 Ph: (407) 530-5911 | Life Work Soul 3206 Hillsdale Ln Kissimmee FL 34741-7562 Ph: (407) 530-5911 |
NPI Number | 1023287901 |
---|---|
Provider Enumeration Date | 02/26/2008 |
Last Update Date | 11/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023287901 | NPI | - | NPPES |
003467600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH5173 (Florida) | Primary |
News Archive
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