Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elysian Life Coaching and Counseling Services PLLC

Organization Clinical Social Worker · NPI 1629883665

Elysian Life Coaching and Counseling Services PLLC is a Clinical Social Worker 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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