Provider Demographics
NPI:1245863240
Name:TOOLS4LIFE PSYCHOTHERAPY
Entity type:Organization
Organization Name:TOOLS4LIFE PSYCHOTHERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:R
Authorized Official - Last Name:JAACOBI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-212-4343
Mailing Address - Street 1:21331 ROCKLEDGE LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4878
Mailing Address - Country:US
Mailing Address - Phone:561-212-4343
Mailing Address - Fax:
Practice Address - Street 1:7100 WEST CAMINO REAL
Practice Address - Street 2:SUITE 302
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-212-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty