| Innovative Counseling Experience | |
|
11097 Hearth Rd Spring Hill FL 34608-3704 | |
| (352) 684-7665 | |
| (352) 684-7665 |
| Full Name | Innovative Counseling Experience |
|---|---|
| Speciality | Counselor |
| Location | 11097 Hearth Rd, Spring Hill, Florida |
| Authorized Official Name and Position | Fernanda Mango (PRESIDENT) |
| Authorized Official Contact | 3526666744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Counseling Experience 3448 Plaza Ave Spring Hill FL 34608-3945 Ph: (352) 684-7665 | Innovative Counseling Experience 11097 Hearth Rd Spring Hill FL 34608-3704 Ph: (352) 684-7665 |
| NPI Number | 1578670501 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578670501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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