Organization Active NPI

Life Enhancement Counseling Services, LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1063786333
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9639 Issued in FL
Legal business name
LIFE ENHANCEMENT COUNSELING SERVICES, LLC
Practice address
6200 Metrowest Blvd
Suite 201-H
Orlando, FL 32835-7636
Phone
(407) 620-7855
Fax
(407) 286-6465
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Yolanda Brailey, LMHCNPI 1609020767
Title
Licensed Mental Health Counselor
Phone
(407) 620-7855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9639 FL Primary

Addresses

Primary practice location

6200 Metrowest Blvd
Suite 201-H
Orlando, FL 32835-7636

Mailing address

PO Box 341
Gotha, FL 34734-0341
Phone (407) 620-7855

National Provider Directory

National Provider Directory

Locations

6200 Metrowest Blvd
Ste 201H
Orlando, FL 32835
Phone (407) 620-7855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1063786333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "347340341",
            "telephone_number": "407-620-7855",
            "fax_number": "407-286-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 METROWEST BLVD",
            "address_2": "SUITE 201-H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357636",
            "telephone_number": "407-620-7855",
            "fax_number": "407-286-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BRAILEY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "407-620-7855",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.