| Aspire Counseling Inc | |
|
5453 Harden Ave Orange Park FL 32065-7204 | |
| (904) 755-1914 | |
| Not Available |
| Full Name | Aspire Counseling Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5453 Harden Ave, Orange Park, Florida |
| Authorized Official Name and Position | Wileen L Vandenoever (PRESIDENT) |
| Authorized Official Contact | 9047551914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Counseling Inc 5453 Harden Ave Orange Park FL 32065-7204 Ph: (904) 755-1914 | Aspire Counseling Inc 5453 Harden Ave Orange Park FL 32065-7204 Ph: (904) 755-1914 |
| NPI Number | 1285075051 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Medicare PECOS PAC ID | 8921241605 |
|---|---|
| Medicare Enrollment ID | O20130828000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285075051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW8163 (Florida) | Primary |
| Provider Name | Wileen L Vandenoever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679503742 PECOS PAC ID: 6103921598 Enrollment ID: I20110323000771 |
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