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General NPI Number Information
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NPI Number | 1023287901
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Entity Type | Organization
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Legal Business Name | LIFE & WORK SOULUTIONS, INC.
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 3206 HILLSDALE LN
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City | KISSIMMEE
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State | FL
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Zip | 34741-7562
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Country | US
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Telephone | 407-530-5911
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Fax | 888-216-6045
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Provider Business Mailing Address
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Address Line | 3206 HILLSDALE LN
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City | KISSIMMEE
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State | FL
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Zip | 34741-7562
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Country | US
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Telephone | 407-530-5911
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Fax | 888-216-6045
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. MELODY L KIPP
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Credential | PHD, LMHC
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Telephone | 407-530-5911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH5173
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License Number State | FL
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