Full Life Coaching PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FULL LIFE COACHING PLLC

Doing business as

Full Life Comprehensive Care

Practice address

4400 N Federal Hwy Ste 307
Boca Raton, FL 33431-5180

Phone

(954) 696-4001

NPI assigned

Feb 12, 2024

Organization subpart

Yes

Parent organization

FULL LIFE COMPREHENSIVE CAREAs reported in NPPES

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

Authorized official

Name

Brian Pagan, LMHC, CAPNPI 1902326861

Title

Owner

Phone

(954) 696-4001

Specialties & licenses 1

Addresses

Other names 1

• Full Life Comprehensive Care Doing business as

Part of

Full Life Coaching PLLC

Locations

Practitioners 1

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

• Brian Odell Pagan, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1902326861
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1699539403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY STE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315180",
            "telephone_number": "954-696-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY STE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315180",
            "telephone_number": "954-696-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE COACHING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULL LIFE COMPREHENSIVE CARE",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-696-4001",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Life Comprehensive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ansley Frost
• Donna Hearn Frydman, LMHC
• FTX Medical LLC
• Andy Nicolas Fuentes, RMHCI
• Full Circle Therapy & Wellness LLC
• Danyelle Lynn Fuller
• Functional Eating LLC
• Functional Evaluation Testing of Florida, Inc
• Functional Rehab Solutions, LLC
• David Scott Funt, M.D.

• Adult Mental Health Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.