Provider Demographics
NPI:1427304187
Name:LIFE COUNSELING OUTPATIENT SERVICES INC
Entity type:Organization
Organization Name:LIFE COUNSELING OUTPATIENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-640-2936
Mailing Address - Street 1:2260 PALM BEACH LAKES BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3411
Mailing Address - Country:US
Mailing Address - Phone:800-990-0340
Mailing Address - Fax:
Practice Address - Street 1:2260 PALM BEACH LAKES BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3411
Practice Address - Country:US
Practice Address - Phone:800-990-0340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty