Center for Life Enhancement LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6564 Issued in FL

Legal business name

CENTER FOR LIFE ENHANCEMENT LLC

Practice address

21 W Fee Ave
Suite C
Melbourne, FL 32901

Phone

(321) 951-3949

Fax

(321) 951-3987

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul G Seitz, MSW, LCSW, CCMNPI 1225233174

Title

Owner

Phone

(321) 698-3594

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Gerard Seitz, LCSW

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1225233174
  NPD (past) Authorized official
• Stephanie Krenzelok, LCSW

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1700391554
  NPD
• Kelly Elizabeth Richards, LCSW

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1720283674
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1629148960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W FEE AVE",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-951-3949",
            "fax_number": "321-951-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W FEE AVE",
            "address_2": "SUITE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-951-3949",
            "fax_number": "321-951-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIFE ENHANCEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-698-3594",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW, CCM"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

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