| Catalyst Counseling Associates | |
|
1320 Louisiana Ave Ste A Saint Cloud FL 34769-4116 | |
| (407) 593-0122 | |
| Not Available |
| Full Name | Catalyst Counseling Associates |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1320 Louisiana Ave Ste A, Saint Cloud, Florida |
| Authorized Official Name and Position | Celeste Titus (OWNER/OPERATOR) |
| Authorized Official Contact | 4075930122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Counseling Associates 4724 Lake Trudy Dr Saint Cloud FL 34769-1668 Ph: (407) 205-2597 | Catalyst Counseling Associates 1320 Louisiana Ave Ste A Saint Cloud FL 34769-4116 Ph: (407) 593-0122 |
| NPI Number | 1962049387 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 06/01/2020 |
| Certification Date | 06/01/2020 |
| Medicare PECOS PAC ID | 8628437001 |
|---|---|
| Medicare Enrollment ID | O20230703000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962049387 | NPI | - | NPPES |
| 101662900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jared William Chantrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730658345 PECOS PAC ID: 6901215482 Enrollment ID: I20210513001185 |
| Provider Name | Celeste M Titus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942732177 PECOS PAC ID: 0446619829 Enrollment ID: I20240415002033 |
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