Healthcare Provider Details

I. General information

NPI: 1235697830
Provider Name (Legal Business Name): QUALITY OF LIFE SERVICING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 RAVENSWOOD RD STE 205
FORT LAUDERDALE FL
33312-5301
US

IV. Provider business mailing address

4101 RAVENSWOOD RD STE 205
FORT LAUDERDALE FL
33312-5301
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-6729
  • Fax: 786-353-2349
Mailing address:
  • Phone: 869-536-7297
  • Fax: 786-353-2349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ARIADNA GONZALEZ BERMUDEZ
Title or Position: PRESIDENT AND EXECUTIVE DIRECTOR
Credential: CBHCM
Phone: 786-304-7731