Provider Demographics
NPI:1326444696
Name:ENHANCING LIVES SERVICES
Entity Type:Organization
Organization Name:ENHANCING LIVES SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:YORKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-234-1365
Mailing Address - Street 1:5433 NAGAMI DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-3163
Mailing Address - Country:US
Mailing Address - Phone:407-234-1365
Mailing Address - Fax:
Practice Address - Street 1:5433 NAGAMI DR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-3163
Practice Address - Country:US
Practice Address - Phone:407-234-1365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW11570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty