Provider Demographics
NPI:1700511367
Name:TRUE LIFE FAMILY COUNSELING
Entity type:Organization
Organization Name:TRUE LIFE FAMILY COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:469-693-8277
Mailing Address - Street 1:3223 NW 10TH TER STE 608
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5940
Mailing Address - Country:US
Mailing Address - Phone:954-682-7927
Mailing Address - Fax:
Practice Address - Street 1:128 PEACOCK CT
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-5086
Practice Address - Country:US
Practice Address - Phone:954-682-7927
Practice Address - Fax:954-234-2617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility