Provider Demographics
NPI:1437616901
Name:MORE LIFE CENTER FOR WELLNESS, INC
Entity type:Organization
Organization Name:MORE LIFE CENTER FOR WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW, BCD
Authorized Official - Phone:813-347-8483
Mailing Address - Street 1:510 VONDERBURG DR STE 213
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5981
Mailing Address - Country:US
Mailing Address - Phone:813-347-8483
Mailing Address - Fax:813-354-2561
Practice Address - Street 1:510 VONDERBURG DR STE 213
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5981
Practice Address - Country:US
Practice Address - Phone:813-347-8483
Practice Address - Fax:813-354-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty