Provider Demographics
NPI:1568653202
Name:TRUE LIFE COUNSELING., INC
Entity Type:Organization
Organization Name:TRUE LIFE COUNSELING., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CLEVERICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-470-2195
Mailing Address - Street 1:7432 HIGHWAY 50
Mailing Address - Street 2:SUITE 109
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-9322
Mailing Address - Country:US
Mailing Address - Phone:407-470-2195
Mailing Address - Fax:407-445-9145
Practice Address - Street 1:7432 HIGHWAY 50
Practice Address - Street 2:SUITE 109
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-9322
Practice Address - Country:US
Practice Address - Phone:407-470-2195
Practice Address - Fax:407-445-9145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8349251S00000X
FLCCBT-23612251S00000X
FLCCFC-F18303251S00000X
FLMAC-23612251S00000X
FLCCDV-18303251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health