Fringe Counseling Collective | |
1721 Lakelet Loop Oviedo FL 32765-8010 | |
(321) 246-4581 | |
Not Available |
Full Name | Fringe Counseling Collective |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1721 Lakelet Loop, Oviedo, Florida |
Authorized Official Name and Position | Katherine Buntin (PRESIDENT) |
Authorized Official Contact | 3212464581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fringe Counseling Collective 1721 Lakelet Loop Oviedo FL 32765-8010 Ph: (321) 246-4581 | Fringe Counseling Collective 1721 Lakelet Loop Oviedo FL 32765-8010 Ph: (321) 246-4581 |
NPI Number | 1063120392 |
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Provider Enumeration Date | 11/07/2022 |
Last Update Date | 11/07/2022 |
Certification Date | 11/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063120392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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