Organization Active NPI

Counseling for Life, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallahassee, FL
National Provider Identifier
1164975496
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNSELING FOR LIFE, LLC
Practice address
2888 Mahan Dr
Suite 1
Tallahassee, FL 32308-5464
Phone
(850) 895-1070
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Julie Humphreys, LMFT
Title
Manager
Phone
(850) 895-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2888 Mahan Dr
Suite 1
Tallahassee, FL 32308-5464

Mailing address

2888 Mahan Dr
Suite 1
Tallahassee, FL 32308-5464
Phone (850) 895-1070

National Provider Directory

National Provider Directory

Locations

2888 Mahan Dr
Ste 1
Tallahassee, FL 32308
Phone (850) 443-1974

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1164975496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 MAHAN DR",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085464",
            "telephone_number": "850-895-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 MAHAN DR",
            "address_2": "SUITE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085464",
            "telephone_number": "850-895-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-895-1070",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.