A Great Life Services Inc

LBN: A Great Life Services Inc
A Great Life Services Inc is an health care organization with primary practice located at 1150 S Semoran Blvd Ste A , Orlando FL 32807-1424. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Home Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. A Great Life Services Inc can be contacted via phone (407) 704-7811, or through Echevarria, Janera via phone (407) 702-5258.

Contact Information

Primary practice address
1150 S Semoran Blvd Ste A Orlando FL 32807-1424
Fax: (407) 382-0659
Website:
Authorized official contact:
Name: Echevarria, Janera LMHC, BCABA

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC 10628 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-05-1761 Florida
Agencies / Home Health 251E00000X P06000053181 Florida
Agencies / Community/Behavioral Health 251S00000X Florida

Profile Details

NPI number 1144367418
LBN Legal business name A Great Life Services Inc
DBA Doing business as
Authorized official Echevarria, Janera LMHC, BCABA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 12th, 2018 - about 6 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 1144367418 NPPES
Florida MEDICAID 004774200
Florida Other 691558202
Florida MEDICAID 691558296
Florida Other 691558201

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