Destiny Counseling, Llc | |
630 Alicia Rd Lakeland FL 33801 | |
(863) 680-1950 | |
Not Available |
Full Name | Destiny Counseling, Llc |
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Speciality | Counselor - Mental Health |
Location | 630 Alicia Rd, Lakeland, Florida |
Authorized Official Name and Position | Patricia Faye Knight-miller (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8632067227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Destiny Counseling, Llc Po Box 2702 Winter Haven FL 33883-2702 Ph: (863) 206-7227 | Destiny Counseling, Llc 630 Alicia Rd Lakeland FL 33801 Ph: (863) 680-1950 |
NPI Number | 1699040139 |
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Provider Enumeration Date | 03/16/2012 |
Last Update Date | 03/16/2012 |
Identifier | Type | State | Issuer |
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1699040139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | MH7238 (Florida) | Primary |
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