Unlimited Potentials for Life

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7312 Issued in FL

Legal business name

UNLIMITED POTENTIALS FOR LIFE

Practice address

721 US Highway 1
Ste 108
North Palm Beach, FL 33408-4512

Phone

(561) 841-3990

Fax

(561) 863-0087

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Kaffie Clark, LMHC,NPI 1750439998

Title

Ceo

Phone

(561) 841-3990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kaffie Ruth Clark, LMHC

  • Mental Health Counselor
  • North Palm Beach, FL
  • NPI 1750439998
  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1992976708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 DATE PALM DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033227",
            "telephone_number": "561-841-3990",
            "fax_number": "561-863-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 US HIGHWAY 1",
            "address_2": "STE 108",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084512",
            "telephone_number": "561-841-3990",
            "fax_number": "561-863-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED POTENTIALS FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KAFFIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-841-3990",
        "authorized_official_credential": "LMHC,"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dan Vacca, RPH
• Heidi Vacca, PHARM D.
• Lourdes Maria Valdez, M.S. SLP-CF

• Mental Health Counselor in North Palm Beach, FL
• Providers in North Palm Beach, 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 Mar 27, 2008; 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.