| South Lake Family Counseling Services | |
|
12946 Colonnade Cir Clermont FL 34711-6611 | |
| (352) 359-2073 | |
| Not Available |
| Full Name | South Lake Family Counseling Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12946 Colonnade Cir, Clermont, Florida |
| Authorized Official Name and Position | Adrian T Manley (OWNER/THERAPIST) |
| Authorized Official Contact | 3523592073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Family Counseling Services 12946 Colonnade Cir Clermont FL 34711-6611 Ph: (352) 359-2073 | South Lake Family Counseling Services 12946 Colonnade Cir Clermont FL 34711-6611 Ph: (352) 359-2073 |
| NPI Number | 1568073195 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568073195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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