Healthcare Provider Details

I. General information

NPI: 1023081940
Provider Name (Legal Business Name): LIFE SKILLS ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 N MAGNOLIA AVE STE 317
ORLANDO FL
32803-8850
US

IV. Provider business mailing address

924 N MAGNOLIA AVE STE 317
ORLANDO FL
32803-8850
US

V. Phone/Fax

Practice location:
  • Phone: 407-843-1455
  • Fax: 407-843-1456
Mailing address:
  • Phone: 407-843-1455
  • Fax: 407-843-1456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 7809
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW3121
License Number StateFL

VIII. Authorized Official

Name: MS. LEONIE D LARMOND
Title or Position: PRESIDENT
Credential: LCSW
Phone: 407-843-1455