| Florida Counseling Foundation, Inc. | |
|
258 Wilshire Blvd Casselberry FL 32707 | |
| (407) 831-2991 | |
| (407) 831-8211 |
| Full Name | Florida Counseling Foundation, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 258 Wilshire Blvd, Casselberry, Florida |
| Authorized Official Name and Position | Roger Shepherd (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 4078312991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Counseling Foundation, Inc. 258 Wilshire Blvd. Casselberry FL 32707 Ph: (407) 831-2991 | Florida Counseling Foundation, Inc. 258 Wilshire Blvd Casselberry FL 32707 Ph: (407) 831-2991 |
| NPI Number | 1174983944 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174983944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC-2793 (Florida) | Primary |
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