| Premium Counseling Group, Llc | |
|
3501 W Vine St Ste 352 Kissimmee FL 34741-4649 | |
| (407) 910-4880 | |
| Not Available |
| Full Name | Premium Counseling Group, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3501 W Vine St Ste 352, Kissimmee, Florida |
| Authorized Official Name and Position | Felix Abdiel Davila Vinales (CEO/SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 4079104880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Counseling Group, Llc 3501 W Vine St Ste 352 Kissimmee FL 34741-4649 Ph: (407) 910-4880 | Premium Counseling Group, Llc 3501 W Vine St Ste 352 Kissimmee FL 34741-4649 Ph: (407) 910-4880 |
| NPI Number | 1982127767 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982127767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP100038 (Florida) | Primary |
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