MEDICARE: LIFE SOLUTIONS PSYCHOLOGICAL SERVICES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TF0000X	Family Psychologist	PY7376	FL
2	103T00000X	Psychologist	PY7376	FL

General Provider Information

NPI Number	:	1104190180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE SOLUTIONS PSYCHOLOGICAL SERVICES, P.A.

Provider Business Mailing Address
First Line	:	4121 NW 5TH ST
Second Line	:	SUITE 207
City	:	PLANTATION
State	:	FL
Zip	:	33317-2120
Country	:	US
Telephone Number	:	954-583-4568
Fax Number	:

Provider Business Practice Location Address
First Line	:	4121 NW 5TH ST
Second Line	:	SUITE 207
City	:	PLANTATION
State	:	FL
Zip	:	33317-2120
Country	:	US
Telephone Number	:	954-583-4568
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LATOYA E SHAKES MALONE
Credential	:	PH.D.
Telephone Number	:	954-583-4568

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/08/2012

Similar Medicare Providers

1902756331 — EDWIN ORDUY
Practice Location Address:

4121 NW 5TH ST STE 216
PLANTATION, FL
33317-2120

Practice Phone: 754-779-0656
Practice Fax:

1003836826 — DR. PATRICK LOUIS FENELUS D.C.
Practice Location Address:

4121 NW 5TH ST , STE 215
PLANTATION, FL
33317-2120

Practice Phone: 954-358-0301
Practice Fax: 954-316-4547

1609954718 — HEALTH 1 INC
Practice Location Address:

4121 NW 5TH ST , SUITE 215
PLANTATION, FL
33317-2120

Practice Phone: 954-358-0301
Practice Fax:

1639301443 — URGENT CARE OF BROWARD, INC.
Practice Location Address:

4121 NW 5TH ST , 215
PLANTATION, FL
33317-2120

Practice Phone: 954-583-0504
Practice Fax: 954-583-0610

1104153311 — DR. KATHLEEN MARIA RHODES PH.D., L.F.M.T.
Practice Location Address:

4121 NW 5TH ST , SUITE #206
PLANTATION, FL
33317-2120

Practice Phone: 954-797-5222
Practice Fax: 954-797-7677

1285938282 — POSITIVE SOLUTIONS PSYCHOLOGICAL SERVICES, PLLC
Practice Location Address:

4121 NW 5TH ST , SUITE 207
PLANTATION, FL
33317-2120

Practice Phone: 954-583-4568
Practice Fax: 954-583-4528

Directions to “LIFE SOLUTIONS PSYCHOLOGICAL SERVICES, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.