Organization Active NPI

Exum Life Counseling, Mediation, & Training Services, Inc.

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1750844130
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EXUM LIFE COUNSELING, MEDIATION, & TRAINING SERVICES, INC.
Doing business as
Exum Life Inc.
Practice address
150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665
Phone
(954) 701-0940
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. Angela Levette Exum, LMHC
Title
Ceo
Phone
(954) 701-0940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665

Mailing address

8336 NW 80TH St
Tamarac, FL 33321-1628
Phone (954) 701-0940

Other practice location 1

7481 W Oakland Park Blvd Ste 302H
Tamarac, FL 33319-4961
Phone (954) 701-0940

Other names 1

  • Exum Life Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1750844130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 NW 80TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211628",
            "telephone_number": "954-701-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PINE ISLAND RD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242665",
            "telephone_number": "954-701-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7481 W Oakland Park Blvd Ste 302H",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333194961",
            "country_code": "US",
            "telephone_number": "954-701-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXUM LIFE COUNSELING, MEDIATION, & TRAINING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "EXUM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LEVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-701-0940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exum Life Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.