| Reimagine Freedom Counseling And Consulting Llc | |
|
1404 Independence Ln Mount Dora FL 32757-6102 | |
| (772) 577-1883 | |
| Not Available |
| Full Name | Reimagine Freedom Counseling And Consulting Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1404 Independence Ln, Mount Dora, Florida |
| Authorized Official Name and Position | Cynthia Crouch (OWNER) |
| Authorized Official Contact | 4079630152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reimagine Freedom Counseling And Consulting Llc 1404 Independence Ln Mount Dora FL 32757-6102 Ph: (772) 577-1883 | Reimagine Freedom Counseling And Consulting Llc 1404 Independence Ln Mount Dora FL 32757-6102 Ph: (772) 577-1883 |
| NPI Number | 1497415863 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497415863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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