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Lifeworks Substance Abuse Services Llc
Substance Abuse Rehabilitation Facility in Port Charlotte, Florida
NPI 1487055919

Lifeworks Substance Abuse Services Llc is a Substance Abuse Rehabilitation Facility based in Port Charlotte, FL. Lifeworks Substance Abuse Services Llc practices in Port Charlotte, FL. The NPI Number for Lifeworks Substance Abuse Services Llc is 1487055919 and holds a License No. MH8565 (Florida).

The current practice location address for Lifeworks Substance Abuse Services Llc is 4678 Tamiami Trl, Port Charlotte, FL and can be reached out via phone at 941-979-5023 and via fax at 941-979-5064.

Location: 4678 Tamiami Trl, Port Charlotte, FL, 33980-2900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487055919
Provider Name
Lifeworks Substance Abuse Services Llc
Credential
Provider Entity Type
Organization
Address
4678 Tamiami Trl, Port Charlotte, FL, 33980-2900
Phone Number
941-979-5023
Fax Number
941-979-5064
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH8565 01 FL STATE OF FLORIDA
institution
Provider Business Practice Location Address Details
Address
4678 Tamiami Trl
City
Port Charlotte
State
Florida
Zip
33980-2900
Phone Number
941-979-5023
Fax Number
941-979-5064
person
Provider Business Mailing Address Details
Address
4678 Tamiami Trl
City
Port Charlotte
State
Florida
Zip
33980-2900
Phone Number
941-979-5023
Fax Number
941-979-5064
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
MH8565 (Florida)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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