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A Great Life Services INC

Community/Behavioral Health in Orlando, FL. Organization (NPI-2).

NPI number1144367418
StatusActive
Last updated in NPPESSep 12, 2018

Details

NPI
1144367418
Entity type
Organization (NPI-2)
Legal business name
A Great Life Services INC
Organization subpart
No
Enumeration date
Jan 30, 2007
Last updated
Sep 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–FLYes
101YM0800X Counselor, Mental HealthLMHC 10628FL
103K00000X Behavior Analyst0-05-1761FL
251E00000X Home HealthP06000053181FL

Practice location

1150 S Semoran Blvd Ste A
Orlando, FL 32807-1424

Phone 407-704-7811 · Fax 407-382-0659

Mailing address

15031 Perdido Dr
Orlando, FL 32828-5216

Phone 407-702-5258 · Fax 407-382-0659

Authorized official

Janera Echevarria
Ceo
4077025258

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