Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elysian Life Coaching and Counseling Services PLLC

Organization Clinical Social Worker · NPI 1629883665

Elysian Life Coaching and Counseling Services PLLC provides Clinical Social Worker services in Winter Haven, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 W Central Ave Ste 330
Winter Haven, FL 33880-2967
Phone: (863) 266-6024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1629883665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenya Coates Charles — Lcsw Intern · (863) 266-6024
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing address340 W Central Ave Ste 330, Winter Haven, FL 33880-2967

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