| Corporate Consulting & Coaching, Inc. | |
|
521 Lantana Rd Lantana FL 33462-1625 | |
| (561) 360-5050 | |
| Not Available |
| Full Name | Corporate Consulting & Coaching, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 521 Lantana Rd, Lantana, Florida |
| Authorized Official Name and Position | Lori Beth Long (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5613605050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporate Consulting & Coaching, Inc. 521 Lantana Rd Lantana FL 33462-1625 Ph: (561) 360-5050 | Corporate Consulting & Coaching, Inc. 521 Lantana Rd Lantana FL 33462-1625 Ph: (561) 360-5050 |
| NPI Number | 1588114888 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 7012398928 |
|---|---|
| Medicare Enrollment ID | O20240229000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588114888 | NPI | - | NPPES |
| MH2035 | Other | FL | LICENSED MENTAL HEALTH COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH2035 (Florida) | Primary |
| Provider Name | Lori Beth Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083960744 PECOS PAC ID: 5890176713 Enrollment ID: I20240301002628 |
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