Active NPI
Life Paths of Florida LLC
- Community/Behavioral Health Agency
- Melbourne, FL
National Provider Identifier
1700019585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE PATHS OF FLORIDA LLC
- Practice address
- 1600 W Eau Gallie Blvd
Suite 201-H
Melbourne, FL 32935-4149 - Phone
- (321) 622-5250
- Fax
- (321) 622-5250
- NPI assigned
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Joye D Heal, LMHC
- Title
- General Partner
- Phone
- (321) 622-5250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1600 W Eau Gallie Blvd
Suite 201-H
Melbourne, FL 32935-4149
Mailing address
1600 W Eau Gallie Blvd
Suite 201-H
Melbourne, FL 32935-4149
Phone (321) 622-5250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764145100 | Medicaid | FL | |
| MH 9781 | Other | FL | LMHC |
| MH 9197 | Other | FL | LMHC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1700019585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W EAU GALLIE BLVD",
"address_2": "SUITE 201-H",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329354149",
"telephone_number": "321-622-5250",
"fax_number": "321-622-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W EAU GALLIE BLVD",
"address_2": "SUITE 201-H",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329354149",
"telephone_number": "321-622-5250",
"fax_number": "321-622-5250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE PATHS OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "HEAL",
"authorized_official_first_name": "JOYE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "321-622-5250",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "764145100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "MH 9781",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "MH 9197",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.