LIFE FORCE DEVELOPMENT CENTER (NPI# 1124447503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124447503 |
Entity Type | Organization |
Organization Name | LIFE FORCE DEVELOPMENT CENTER |
Other Organization Name | LIFE FORCE DEVELOPMENT CENTER |
Practice Address |
9430 Landis Dr Beaumont TX 77707-1153 |
Practice Telephone | 4096513702 |
Mailing Telephone | 4096513702 |
Enumeration Date | 2014-04-14 |
Last Update Date | 2014-04-14 |
Authorized Official Name | MRS. KIMBERLY ROCHELLE DELUNA (OWNER) |
Authorized Official Telephone | 4096513702 |
Authorized Official Credential | LCDC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11621 | TX | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Life Force Development Center | Doing Business As Name - Organization |
Street Address |
9430 LANDIS DR |
City | BEAUMONT |
State | TX |
Zip Code | 77707-1153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
Find all providers in zip 77707 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862952 | Keith Goshay | Counselor | 953 Avenal Way, Beaumont, CA 92223-8559 | 2020-02-10 |
1851658405 | Samuel Bryan Essex | Counselor | 5545 Eastex Fwy, Beaumont, TX 77706-7077 | 2012-04-20 |
1649490863 | Jude Enyinia Iwuchukwu | Counselor | 367 N 8th St, Beaumont, TX 77702 | 2007-04-30 |
1407973514 | Vista Guidance Centers, Inc. | Counselor | 790 Beaumont Ave Ste 210, Beaumont, CA 92223-5900 | 2007-03-23 |
1124625520 | Jennifer Elaine Sawyer | Counselor | 4349 Crow Rd Ste A&b, Beaumont, TX 77706-7082 | 2020-10-08 |
1285281279 | Patrick Donell Harris | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-08-23 |
1790330215 | Melba T. Hilliard | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2019-08-02 |
1215446737 | Betterlife Resource Group | Counselor | 2611 Laurel St, Beaumont, TX 77702-2204 | 2017-09-27 |
1619414745 | Juli Archer | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2017-01-26 |
1104238583 | Patricia Velasco | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2014-05-20 |
Find all providers in BEAUMONT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.