Building Successful Lives LLC
Psychologist, Clinical in Ocala, FL. Organization (NPI-2).
NPI number1164987103
StatusActive
Last updated in NPPESOct 22, 2023
Details
- NPI
- 1164987103
- Entity type
- Organization (NPI-2)
- Legal business name
- Building Successful Lives LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2019
- Certification date
- Oct 22, 2023
- Last updated
- Oct 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
2801 Sw College Rd Ste 3Ocala, FL 34474-4430
Phone 352-804-2875 · Fax 352-390-3868
Mailing address
Po Box 772345Ocala, FL 34477-2345
Authorized official
Jacqueline Anderson
Clinical Psychologist
3528042875
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