L&l Clinical Counseling Services, Llc | |
130 S Indian River Drive Ste 202 Fort Pierce FL 34952 | |
(772) 333-6488 | |
Not Available |
Full Name | L&l Clinical Counseling Services, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 130 S Indian River Drive, Fort Pierce, Florida |
Authorized Official Name and Position | Lashonda Harolyn Henderson (OWNER) |
Authorized Official Contact | 7723336488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
L&l Clinical Counseling Services, Llc 130 S Indian River Drive Ste 202 Fort Pierce FL 34952 Ph: (772) 333-6488 | L&l Clinical Counseling Services, Llc 130 S Indian River Drive Ste 202 Fort Pierce FL 34952 Ph: (772) 333-6488 |
NPI Number | 1588017933 |
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Provider Enumeration Date | 07/21/2016 |
Last Update Date | 07/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588017933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | ADC 010575 2015 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH 13816 (Florida) | Primary |
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