Active NPI
Exum Life Counseling, Mediation, & Training Services, Inc.
- Mental Health Counselor
- Plantation, FL
National Provider Identifier
1750844130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 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.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Tamarac, FL
- NPI 1689118879
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.