Lake Mary Counseling | |
310 Waymont Ct Ste 100 Lake Mary FL 32746-3475 | |
(407) 635-1979 | |
(321) 926-3490 |
Full Name | Lake Mary Counseling |
---|---|
Speciality | Counselor |
Location | 310 Waymont Ct Ste 100, Lake Mary, Florida |
Authorized Official Name and Position | Jacqueline Heiny (OWNER) |
Authorized Official Contact | 4074163840 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lake Mary Counseling 536 Bottlebrush Loop Sanford FL 32771-0037 Ph: (407) 416-3840 | Lake Mary Counseling 310 Waymont Ct Ste 100 Lake Mary FL 32746-3475 Ph: (407) 635-1979 |
NPI Number | 1932754561 |
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Provider Enumeration Date | 08/09/2019 |
Last Update Date | 12/30/2024 |
Certification Date | 12/30/2024 |
Medicare PECOS PAC ID | 4981054715 |
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Medicare Enrollment ID | O20231220001330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932754561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jacqueline A Heiny |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700983178 PECOS PAC ID: 5890145627 Enrollment ID: I20231220001464 |
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