Healthcare Provider Details

I. General information

NPI: 1427304187
Provider Name (Legal Business Name): LIFE COUNSELING OUTPATIENT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 PALM BEACH LAKES BLVD SUITE 212
WEST PALM BEACH FL
33409-3411
US

IV. Provider business mailing address

2260 PALM BEACH LAKES BLVD SUITE 212
WEST PALM BEACH FL
33409-3411
US

V. Phone/Fax

Practice location:
  • Phone: 800-990-0340
  • Fax:
Mailing address:
  • Phone: 800-990-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: GUY MURRAY
Title or Position: PRESIDENT
Credential:
Phone: 267-640-2936