Family Life Counseling Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY LIFE COUNSELING CENTER LLC

Practice address

2583 Thornhill Rd
Auburndale, FL 33823-4718

Phone

(352) 988-6673

NPI assigned

Jul 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Damaris Reveron

Title

Office Manager

Phone

(352) 988-6673

Specialties & licenses 2

Addresses

Tax ID family

Family Life Counseling Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Family Life Counseling Center

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1033665260
  NPD tax ID
• Family Life Counseling Center

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1215509005
  NPD tax ID
• Family Life Counseling Center

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1578237285
  NPD tax ID
• Family Life Counseling Center

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1851963649
  NPD tax ID
• Family Life Counseling Center LLC

  • Mental Health Counselor
  • Tavares, FL
  • NPI 1215509120
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1013589902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 OAKLEY SEAVER DR STE 307",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 THORNHILL RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234718",
            "telephone_number": "352-988-6673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Oakley Seaver Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111961",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4484 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328041939",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Hatteras Ave",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347117453",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7355 US Highway 98 N",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338092102",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 S Duncan Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784044",
            "country_code": "US",
            "telephone_number": "352-988-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY LIFE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "REVERON",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-988-6673"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Auburndale, FL
• Providers in Auburndale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.