| Counseling Corner | |
|
1630 Hillcrest St Orlando FL 32803-4810 | |
| (407) 843-4968 | |
| (407) 447-4543 |
| Full Name | Counseling Corner |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1630 Hillcrest St, Orlando, Florida |
| Authorized Official Name and Position | Ernest W Reilly (DIRECTOR) |
| Authorized Official Contact | 4078434968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Corner 1630 Hillcrest St Orlando FL 32803-4810 Ph: (407) 843-4968 | Counseling Corner 1630 Hillcrest St Orlando FL 32803-4810 Ph: (407) 843-4968 |
| NPI Number | 1154446110 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154446110 | NPI | - | NPPES |
| Z105J | Other | FL | BLUE CROSS GROUP NUMBER |
| Z001B | Other | FL | BLUE CROSS PROVIDER NUMBR |
| Z029R | Other | FL | BLUE CROSS PROVIDER NUMBR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5067 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | SW5041 (Florida) | Primary |
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