| Shedding Light Counseling 'llc' | |
|
24059 Cortez Blvd Brooksville FL 34601 | |
| (352) 631-7717 | |
| Not Available |
| Full Name | Shedding Light Counseling 'llc' |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24059 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Ginger M Santiago (OWNER/OPERATOR) |
| Authorized Official Contact | 3523976889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shedding Light Counseling 'llc' 24059 Cortez Blvd Brooksville FL 34601-7722 Ph: (352) 397-6889 | Shedding Light Counseling 'llc' 24059 Cortez Blvd Brooksville FL 34601 Ph: (352) 631-7717 |
| NPI Number | 1699253666 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699253666 | NPI | - | NPPES |
| 021304600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH14870 (Florida) | Primary |
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