MEDICARE: LIFE-READY COUNSELING SERVICES, LLC

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1770117558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE-READY COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 3231
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 TRINITY LAKES DR APT 254
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-7703
Country	:	US
Telephone Number	:	727-753-8558
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	LAURA HULL
Credential	:	LMFT
Telephone Number	:	727-753-8558

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/02/2020

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