OrganizationActive
Life Counseling Professional Services
NPI 1063708998 · Mental Illness Community Based Residential Treatment Facility · Lakeland, FL
Provider details
- NPI number
- 1063708998
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Deja Gilbert, Ceo(800) 990-0340
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5001 S Florida Ave
Suite 202
Lakeland, FL 33813-2776
Phone: (800) 990-0340
Approximate (ZIP-level) locationGet directions
Mailing address
2260 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-3411
Registry dates
- Enumerated
- 2011-06-20
- Last updated
- 2011-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.