| Holistic Integrative Counseling Services | |
|
1317 Edgewater Dr # 1707 Orlando FL 32804-6350 | |
| (651) 307-7652 | |
| (407) 264-6834 |
| Full Name | Holistic Integrative Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1317 Edgewater Dr # 1707, Orlando, Florida |
| Authorized Official Name and Position | Teresa Irene Bobo (CEO/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4072760279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Integrative Counseling Services 1317 Edgewater Dr # 1707 Orlando FL 32804-6350 Ph: (651) 307-7652 | Holistic Integrative Counseling Services 1317 Edgewater Dr # 1707 Orlando FL 32804-6350 Ph: (651) 307-7652 |
| NPI Number | 1477171965 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Medicare PECOS PAC ID | 9739533472 |
|---|---|
| Medicare Enrollment ID | O20230928001623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477171965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Teresa Irene Bobo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437695202 PECOS PAC ID: 2769803816 Enrollment ID: I20200528001873 |
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