| Imperfectly Balanced Counseling And Consulting, Llc | |
|
35201 Radio Rd Leesburg FL 34788-3148 | |
| (904) 206-7372 | |
| Not Available |
| Full Name | Imperfectly Balanced Counseling And Consulting, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 35201 Radio Rd, Leesburg, Florida |
| Authorized Official Name and Position | Laura Cowart (OWNER/LMHC) |
| Authorized Official Contact | 9042067372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperfectly Balanced Counseling And Consulting, Llc 2800 N 6th St # 5089 St Augustine FL 32084-1920 Ph: (904) 206-7372 | Imperfectly Balanced Counseling And Consulting, Llc 35201 Radio Rd Leesburg FL 34788-3148 Ph: (904) 206-7372 |
| NPI Number | 1225853377 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225853377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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