Healthcare Provider Details

I. General information

NPI: 1427461995
Provider Name (Legal Business Name): BEST LIFE COUNSELING DIAGNOSTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W INDIANTOWN RD SUITE 107
JUPITER FL
33458-6830
US

IV. Provider business mailing address

1001 W INDIANTOWN RD SUITE 107
JUPITER FL
33458-6830
US

V. Phone/Fax

Practice location:
  • Phone: 561-745-8889
  • Fax: 561-354-0189
Mailing address:
  • Phone: 561-748-2889
  • Fax: 561-748-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JANE LAPIS
Title or Position: BILLING MANAGER
Credential:
Phone: 561-748-2889