Provider Demographics
NPI:1134696123
Name:RECLAIM LIFE COUNSELING, LLC
Entity Type:Organization
Organization Name:RECLAIM LIFE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP
Authorized Official - Phone:954-601-4330
Mailing Address - Street 1:101 PLAZA REAL S STE 226
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4865
Mailing Address - Country:US
Mailing Address - Phone:954-601-4330
Mailing Address - Fax:
Practice Address - Street 1:101 PLAZA REAL S STE 226
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4865
Practice Address - Country:US
Practice Address - Phone:954-601-4330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-28
Last Update Date:2018-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH11332OtherBOARD OF CSW, MFT, MHC
FLADC-002437-2014OtherFLORIDA BOARD OF CERTIFICATION