Provider Demographics
NPI:1861857476
Name:ACCEPTANCE LIFE COUNSELING
Entity Type:Organization
Organization Name:ACCEPTANCE LIFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:305-546-9292
Mailing Address - Street 1:1312 SW 27TH AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1243
Mailing Address - Country:US
Mailing Address - Phone:786-444-3685
Mailing Address - Fax:
Practice Address - Street 1:1312 SW 27TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1243
Practice Address - Country:US
Practice Address - Phone:786-444-3685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-24
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG80904Medicare UPIN
FL255221300Medicaid