| Ct Counseling, Llc | |
|
23051 Nw County Road 200a Lawtey FL 32058-4215 | |
| (904) 966-1585 | |
| Not Available |
| Full Name | Ct Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 23051 Nw County Road 200a, Lawtey, Florida |
| Authorized Official Name and Position | Christina C Tatum (OWNER) |
| Authorized Official Contact | 9049661585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Counseling, Llc 23051 Nw County Road 200a Lawtey FL 32058-4215 Ph: (904) 966-1585 | Ct Counseling, Llc 23051 Nw County Road 200a Lawtey FL 32058-4215 Ph: (904) 966-1585 |
| NPI Number | 1528675162 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528675162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Mernies Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1535 Middleburg Rd, Lawtey, FL 32058 Phone: 718-404-3770 |