Unlimited Potentials For Life in Lake Park - Mental Health
Unlimited Potentials For Life - NPI 1992976708
Unlimited Potentials For Life is a Mental Health in Lake Park, Florida. Unlimited Potentials For Life practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Unlimited Potentials For Life is 1992976708. The last update date is 2008-03-27.
Unlimited Potentials For Life's current location address is 612 Date Palm Dr, Lake Park, Florida. You can contact this provider via phone number 5618413990 and fax number 5618630087. The mailing address for Unlimited Potentials For Life is 612 Date Palm Dr, Lake Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Unlimited Potentials For Life |
|---|---|
| Address | 612 Date Palm Dr, Lake Park, Florida |
| Phone Number | 5618413990 |
| Fax Number | 5618630087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Clark Kaffie |
| Credentials | LMHC, |
| Telephone Number | 5618413990 |
NPI Number Detail
| NPI Number | 1992976708 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2008-03-27 |
Provider Mailing Address Detail
| Address | 612 Date Palm Dr |
|---|---|
| City | Lake Park |
| State | Florida (FL) |
| Post Code | 334033227 |
| Phone Number | 5618413990 |
| Fax Number | 5618630087 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH7312 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Unlimited Potentials For Life by the Centers for Medicare & Medicaid Services?
The Unlimited Potentials For Life has been issued the NPI (National Provider Identifier) 1992976708 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Unlimited Potentials For Life?
The Unlimited Potentials For Life is physically situated at 612 Date Palm Dr, in the city of Lake Park, state of FL, with the postal code 334033227.
What is Unlimited Potentials For Life's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Unlimited Potentials For Life is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992976708 to Unlimited Potentials For Life?
The Centers for Medicare & Medicaid Services assigned the 1992976708 to Unlimited Potentials For Life on 2008-03-19.
As of what date were the Unlimited Potentials For Life's details last updated?
The information pertaining to the Unlimited Potentials For Life, including its address, specialty, and other details, was most recently updated on 2008-03-27.