| Family Life Counseling Center | |
|
210 N Highway 27 Ste 4 Clermont FL 34711-2411 | |
| (352) 708-6283 | |
| (352) 363-2496 |
| Full Name | Family Life Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 210 N Highway 27 Ste 4, Clermont, Florida |
| Authorized Official Name and Position | Cassandra Marie Burchfield (LICENSE MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 3527086283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Counseling Center 210 N Highway 27 Ste 4 Clermont FL 34711-2411 Ph: (352) 708-6283 | Family Life Counseling Center 210 N Highway 27 Ste 4 Clermont FL 34711-2411 Ph: (352) 708-6283 |
| NPI Number | 1033665260 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Medicare PECOS PAC ID | 0648623835 |
|---|---|
| Medicare Enrollment ID | O20240124000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033665260 | NPI | - | NPPES |
| Provider Name | Eric Chatman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508234394 PECOS PAC ID: 8426409475 Enrollment ID: I20240104000645 |
| Provider Name | Carmenoemiangela Diuco Reyes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760109300 PECOS PAC ID: 8628421807 Enrollment ID: I20240124003992 |
| Provider Name | Kelly Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043923147 PECOS PAC ID: 6800249772 Enrollment ID: I20240126001513 |
| Provider Name | Ryan Jennifer Fontaine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568780435 PECOS PAC ID: 1153774039 Enrollment ID: I20240126002057 |
| Provider Name | Krystie Moss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023479789 PECOS PAC ID: 8022461706 Enrollment ID: I20240130000110 |
| Provider Name | Cassandra Burchfield |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104940477 PECOS PAC ID: 6608157672 Enrollment ID: I20240130000641 |
| Provider Name | Heather Lipp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952720682 PECOS PAC ID: 9234572124 Enrollment ID: I20240207003526 |
| Provider Name | Natalie Brand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063024438 PECOS PAC ID: 2860837739 Enrollment ID: I20240301000694 |
| Provider Name | Tonya Denise Samuels |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447855432 PECOS PAC ID: 3577900968 Enrollment ID: I20240320004274 |
| Provider Name | Kim R Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043274186 PECOS PAC ID: 3274970215 Enrollment ID: I20240326001536 |
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