Provider Demographics
NPI:1346513751
Name:BEST LIFE COUNSELING, LLC
Entity type:Organization
Organization Name:BEST LIFE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BENAIM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-745-8889
Mailing Address - Street 1:1001 W INDIANTOWN RD
Mailing Address - Street 2:107
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6830
Mailing Address - Country:US
Mailing Address - Phone:561-745-8889
Mailing Address - Fax:561-354-0189
Practice Address - Street 1:1001 W INDIANTOWN RD
Practice Address - Street 2:107
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6830
Practice Address - Country:US
Practice Address - Phone:561-745-8889
Practice Address - Fax:561-354-0189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10942101YP2500X
FL1550AD982501261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ03LXOtherBC/BS