MEDICARE: LIFE IS NOW COUNSELING, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1134862428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE IS NOW COUNSELING, LLC.

Provider Business Mailing Address
First Line	:	2464 CORAL WAY
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3419
Country	:	US
Telephone Number	:	561-856-3934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2464 CORAL WAY
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3419
Country	:	US
Telephone Number	:	561-856-3934
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LINA PEPPER
Credential	:	MA
Telephone Number	:	561-856-3934

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	04/15/2022

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