| Northlake Center For Counseling | |
|
1851 West Indiantown Road Suite 202 Jupiter FL 33458 | |
| (561) 743-7958 | |
| (561) 743-7959 |
| Full Name | Northlake Center For Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1851 West Indiantown Road, Jupiter, Florida |
| Authorized Official Name and Position | Linda Susan Davis (PRESIDENT) |
| Authorized Official Contact | 5617437958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlake Center For Counseling 1851 West Indiantown Road #202 Jupiter FL 33458 Ph: (561) 743-7959 | Northlake Center For Counseling 1851 West Indiantown Road Suite 202 Jupiter FL 33458 Ph: (561) 743-7958 |
| NPI Number | 1881130094 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881130094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4748 (Florida) | Primary |
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