Style of Life Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STYLE OF LIFE COUNSELING, LLC

Practice address

5042 Night Star TRL
Odessa, FL 33556-4575

Phone

(203) 414-1854

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caroline Coulter Faifman, LMHCNPI 1285385799

Title

Owner

Phone

(203) 414-1854

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline Coulter Faifman, LMHC

  • Mental Health Counselor
  • Odessa, FL
  • NPI 1285385799
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1871235101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 NIGHT STAR TRL",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564575",
            "telephone_number": "203-414-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 NIGHT STAR TRL",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564575",
            "telephone_number": "203-414-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STYLE OF LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "FAIFMAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "COULTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-414-1854",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Odessa, FL
• Providers in Odessa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.