MEDICARE: TRUE LIFE COUNSELING., INC

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	251S00000X	Community/Behavioral Health Agency	CCBT-23612	FL
2	251S00000X	Community/Behavioral Health Agency	CCFC-F18303	FL
3	251S00000X	Community/Behavioral Health Agency	MAC-23612	FL
4	251S00000X	Community/Behavioral Health Agency	CCDV-18303	FL
5	251S00000X	Community/Behavioral Health Agency	MH8349	FL

General Provider Information

NPI Number	:	1568653202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE LIFE COUNSELING., INC

Provider Business Mailing Address
First Line	:	7432 HIGHWAY 50
Second Line	:	SUITE 109
City	:	GROVELAND
State	:	FL
Zip	:	34736-9322
Country	:	US
Telephone Number	:	407-470-2195
Fax Number	:	407-445-9145

Provider Business Practice Location Address
First Line	:	7432 HIGHWAY 50
Second Line	:	SUITE 109
City	:	GROVELAND
State	:	FL
Zip	:	34736-9322
Country	:	US
Telephone Number	:	407-470-2195
Fax Number	:	407-445-9145

Authorized Official
Title or Position	:	OWNER/ PSYCHOTHERAPIST
Name	:	CLEVERICK M ADAMS
Credential	:	LMHC
Telephone Number	:	407-470-2195

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/07/2007

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Directions to “TRUE LIFE COUNSELING., INC ” Practice Location

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