Provider Demographics
NPI:1114580768
Name:YOUR LIFE CONSULTING, LLC
Entity Type:Organization
Organization Name:YOUR LIFE CONSULTING, LLC
Other - Org Name:LOVE DISCOVERY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATAKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:786-564-6033
Mailing Address - Street 1:2350 SW 27TH AVE APT 911
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3687
Mailing Address - Country:US
Mailing Address - Phone:786-564-6033
Mailing Address - Fax:
Practice Address - Street 1:2525 PONCE DE LEON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6044
Practice Address - Country:US
Practice Address - Phone:786-564-6033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health