Provider Demographics
NPI:1700511367
Name:TRUE LIFE FAMILY COUNSELING
Entity Type:Organization
Organization Name:TRUE LIFE FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STIGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:516-603-1039
Mailing Address - Street 1:2542 OKEECHOBEE LN
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-4624
Mailing Address - Country:US
Mailing Address - Phone:516-603-1039
Mailing Address - Fax:
Practice Address - Street 1:6906 KINGSTON PIKE STE 101A
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5704
Practice Address - Country:US
Practice Address - Phone:516-603-1039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility