| Temple Legacy Counseling, Llc | |
|
5137 N Scenic Hwy Lot 44 Lake Wales FL 33898-1900 | |
| (863) 221-6700 | |
| Not Available |
| Full Name | Temple Legacy Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5137 N Scenic Hwy Lot 44, Lake Wales, Florida |
| Authorized Official Name and Position | Sabrina Rosemary Gonzalez (OWNER) |
| Authorized Official Contact | 2672588423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Legacy Counseling, Llc 5137 N Scenic Hwy Lot 44 Lake Wales FL 33898-1900 Ph: (267) 258-8423 | Temple Legacy Counseling, Llc 5137 N Scenic Hwy Lot 44 Lake Wales FL 33898-1900 Ph: (863) 221-6700 |
| NPI Number | 1609433507 |
|---|---|
| Provider Enumeration Date | 05/26/2019 |
| Last Update Date | 05/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609433507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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