Provider Demographics
NPI:1609604131
Name:LIVE LIFE UNLIMITED COUNSELING LLC
Entity type:Organization
Organization Name:LIVE LIFE UNLIMITED COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-397-4031
Mailing Address - Street 1:2555 NW 102ND AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2131
Mailing Address - Country:US
Mailing Address - Phone:305-489-8065
Mailing Address - Fax:786-635-9058
Practice Address - Street 1:2555 NW 102ND AVE STE 205
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2131
Practice Address - Country:US
Practice Address - Phone:305-489-8065
Practice Address - Fax:786-635-9058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)