Provider Demographics
NPI:1205319175
Name:VICTORIOUS LIVING COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:VICTORIOUS LIVING COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC-S, NCC
Authorized Official - Phone:321-209-8219
Mailing Address - Street 1:7228 CLARCONA OCOEE RD.
Mailing Address - Street 2:#275
Mailing Address - City:CLARCONA
Mailing Address - State:FL
Mailing Address - Zip Code:32710
Mailing Address - Country:US
Mailing Address - Phone:321-209-8219
Mailing Address - Fax:
Practice Address - Street 1:2813 S HIAWASSEE RD STE 301
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6690
Practice Address - Country:US
Practice Address - Phone:321-209-8219
Practice Address - Fax:321-445-5601
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. LBJ, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-07
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10763261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)