The Center of Life Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE CENTER OF LIFE COUNSELING, LLC

Practice address

300 N. Ronald Reagan Blvd. #302
Longwood, FL 32779

Phone

(407) 476-1432

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Jessica Richards

Title

LMHC, Owner

Phone

(407) 476-1432

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Lauren Marie Eadie, LMHC

  • Mental Health Counselor
  • Longwood, FL
  • NPI 1972152577
  NPD (past)
• Jean Michelle Godun

  • Mental Health Counselor
  • Longwood, FL
  • NPI 1972097012
  NPD (past)
• Caitlin Rhea Hilligas

  • Mental Health Counselor
  • Longwood, FL
  • NPI 1497145148
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1992275598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N. RONALD REAGAN BLVD. #302",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32779",
            "telephone_number": "407-476-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N. RONALD REAGAN BLVD. #302",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32779",
            "telephone_number": "407-476-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER OF LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LMHC, OWNER",
        "authorized_official_telephone_number": "407-476-1432"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215375548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Lynette Tejada, PMHNP
• Kenny Tello
• Diane Testani, MASSAGE THERAPIST
• Tammy Nicole Thaggert, MD
• San Thawalanthanne
• The Chiropractic Studio at Longwood Rehabilitation
• The Cornerstone at Longwood
• The Grove Counseling Center Inc
• The Home Medical Equipment Company of South Florida, Inc.
• The Place of Comfort

• Adult Mental Health Clinic/Center in Longwood, FL
• Providers in Longwood, 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 Nov 27, 2018; 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.