Provider Demographics
NPI:1427703743
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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-635-9058
Mailing Address - Street 1:15372 SW 9TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2781
Mailing Address - Country:US
Mailing Address - Phone:786-635-9058
Mailing Address - Fax:305-489-8065
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:786-635-9058
Practice Address - Fax:305-489-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty