| Hope Restored Counseling Of Florida, Llc | |
|
2033 E Edgewood Dr Ste 4 Lakeland FL 33803-3660 | |
| (863) 712-0877 | |
| Not Available |
| Full Name | Hope Restored Counseling Of Florida, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2033 E Edgewood Dr Ste 4, Lakeland, Florida |
| Authorized Official Name and Position | Rita Harrison (PRESIDENT) |
| Authorized Official Contact | 8637120877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Restored Counseling Of Florida, Llc Po Box 6732 Lakeland FL 33807-6732 Ph: (863) 712-0877 | Hope Restored Counseling Of Florida, Llc 2033 E Edgewood Dr Ste 4 Lakeland FL 33803-3660 Ph: (863) 712-0877 |
| NPI Number | 1750910048 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Medicare PECOS PAC ID | 5395154561 |
|---|---|
| Medicare Enrollment ID | O20210429002774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750910048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rita D Langdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083019228 PECOS PAC ID: 0648593186 Enrollment ID: I20210429002834 |
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