| Divine Individuals Counseling Services, Inc. | |
|
5104 N Orange Blossom Trl Ste 107 Orlando FL 32810-1013 | |
| (407) 739-6883 | |
| Not Available |
| Full Name | Divine Individuals Counseling Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 5104 N Orange Blossom Trl Ste 107, Orlando, Florida |
| Authorized Official Name and Position | Eric Singleton (PRESIDENT) |
| Authorized Official Contact | 4077396883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Individuals Counseling Services, Inc. 5104 N Orange Blossom Trl Ste 107 Orlando FL 32810-1013 Ph: (407) 739-6883 | Divine Individuals Counseling Services, Inc. 5104 N Orange Blossom Trl Ste 107 Orlando FL 32810-1013 Ph: (407) 739-6883 |
| NPI Number | 1477894962 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477894962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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