| Lifestyle Management Counseling Center, Llc | |
|
2404 Hubbard St Jacksonville FL 32206-2911 | |
| (904) 902-2454 | |
| (888) 474-2998 |
| Full Name | Lifestyle Management Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2404 Hubbard St, Jacksonville, Florida |
| Authorized Official Name and Position | Stephanie Mcelveen (OWNER) |
| Authorized Official Contact | 9049022454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Management Counseling Center, Llc 2404 Hubbard St Jacksonville FL 32206-2911 Ph: (904) 902-2454 | Lifestyle Management Counseling Center, Llc 2404 Hubbard St Jacksonville FL 32206-2911 Ph: (904) 902-2454 |
| NPI Number | 1376894816 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376894816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004714 (Georgia) | Primary |
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