Therapeutic Life Services, Inc | |
16071 Micelli Dr Winter Garden FL 34787-1821 | |
(305) 607-2896 | |
Not Available |
Full Name | Therapeutic Life Services, Inc |
---|---|
Speciality | Counselor - Mental Health |
Location | 16071 Micelli Dr, Winter Garden, Florida |
Authorized Official Name and Position | David Gomez (MR.) |
Authorized Official Contact | 3056072896 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapeutic Life Services, Inc 7830 Nw 161st Ter Miami Lakes FL 33016-6677 Ph: () - | Therapeutic Life Services, Inc 16071 Micelli Dr Winter Garden FL 34787-1821 Ph: (305) 607-2896 |
NPI Number | 1225641616 |
---|---|
Provider Enumeration Date | 08/26/2020 |
Last Update Date | 11/18/2022 |
Certification Date | 11/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225641616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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