Provider Demographics
NPI:1497129639
Name:THERAPY FOR LIVING, INC
Entity Type:Organization
Organization Name:THERAPY FOR LIVING, INC
Other - Org Name:LORI BEARD, LMHC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-405-9469
Mailing Address - Street 1:1544 RUSKIN LN
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-1958
Mailing Address - Country:US
Mailing Address - Phone:904-405-9469
Mailing Address - Fax:855-261-3372
Practice Address - Street 1:1544 RUSKIN LN
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-1958
Practice Address - Country:US
Practice Address - Phone:904-405-9469
Practice Address - Fax:855-261-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-28
Last Update Date:2015-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty