Life Renewing Therapeutic Center, Inc.

LBN: Life Renewing Therapeutic Center, Inc.
Life Renewing Therapeutic Center, Inc. is an health care organization with primary practice located at 2699 Stirling Rd , Fort Lauderdale FL 33312-6517. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Life Renewing Therapeutic Center, Inc. can be contacted via phone (954) 966-3741, or through Kubat, Laura Marie via phone (954) 336-3512.

Contact Information

Primary practice address
2699 Stirling Rd Fort Lauderdale FL 33312-6517
Phone: (954) 966-3741
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kubat, Laura Marie PHD
Phone: (954) 336-3512

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7747 Florida

Profile Details

NPI number 1609169119
LBN Legal business name Life Renewing Therapeutic Center, Inc.
DBA Doing business as
Authorized official Kubat, Laura Marie PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2011
Last updated May 17th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609169119 NPPES
Florida MEDICAID 003104400

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