| Purple Cactus Counseling Llc | |
|
4415 Florida National Dr Ste 214 Lakeland FL 33813-1573 | |
| (407) 625-0808 | |
| Not Available |
| Full Name | Purple Cactus Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4415 Florida National Dr Ste 214, Lakeland, Florida |
| Authorized Official Name and Position | Heidi Chinlund (OWNER/MANAGER) |
| Authorized Official Contact | 4076250808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Cactus Counseling Llc Po Box 26 Intercession City FL 33848-0026 Ph: (407) 625-0808 | Purple Cactus Counseling Llc 4415 Florida National Dr Ste 214 Lakeland FL 33813-1573 Ph: (407) 625-0808 |
| NPI Number | 1558729616 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558729616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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