NPIMap

Organization Active NPI

Life Force Development Center

  • Addiction (Substance Use Disorder) Counselor
  • Beaumont, TX
National Provider Identifier
1124447503
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11621 Issued in TX
Legal business name
LIFE FORCE DEVELOPMENT CENTER
Doing business as
Life Force Development Center
Practice address
9430 Landis Dr
Beaumont, TX 77707-1153
Phone
(409) 651-3702
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mrs. Kimberly Rochelle Deluna, LCDC
Title
Owner
Phone
(409) 651-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 11621 TX Primary

Addresses

Primary practice location

9430 Landis Dr
Beaumont, TX 77707-1153

Mailing address

9430 Landis Dr
Beaumont, TX 77707-1153
Phone (409) 651-3702

Other names 1

  • Life Force Development Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1124447503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 LANDIS DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777071153",
            "telephone_number": "409-651-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 LANDIS DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777071153",
            "telephone_number": "409-651-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FORCE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "DELUNA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-651-3702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Force Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.