NPI | 1407111503 |
---|---|
Other Name | THE LIFE CENTER |
Entity Type | Organization |
Authorized Contact | SHERYLE R. BAKER Executive Director & Licensed Couns 813-237-3114 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: FL LMHC1340) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL LMHC1340) |
Enumeration Date | 2012-07-05 |
Last Update Date | 2012-07-05 |