| Florida Counseling Solutions Llc | |
|
122 E Main St # 269 Lakeland FL 33801-4655 | |
| (813) 527-8976 | |
| Not Available |
| Full Name | Florida Counseling Solutions Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 122 E Main St # 269, Lakeland, Florida |
| Authorized Official Name and Position | Stephanie Evans (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 8135278976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Counseling Solutions Llc 122 E Main St # 269 Lakeland FL 33801-4655 Ph: (813) 527-8976 | Florida Counseling Solutions Llc 122 E Main St # 269 Lakeland FL 33801-4655 Ph: (813) 527-8976 |
| NPI Number | 1477172971 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477172971 | NPI | - | NPPES |
| 112077100 | Medicaid | FL | |
| SW16883 | Other | FL | FL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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