| Tgk Counseling Service Llc | |
|
1317 Edgewater Dr # 580 Orlando FL 32804-6350 | |
| (941) 564-7987 | |
| (941) 761-5815 |
| Full Name | Tgk Counseling Service Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1317 Edgewater Dr # 580, Orlando, Florida |
| Authorized Official Name and Position | Teresa Gonzalez-kurzy (PRACTICE MANAGER) |
| Authorized Official Contact | 9415647987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgk Counseling Service Llc 1317 Edgewater Dr # 580 Orlando FL 32804-6350 Ph: (941) 564-7987 | Tgk Counseling Service Llc 1317 Edgewater Dr # 580 Orlando FL 32804-6350 Ph: (941) 564-7987 |
| NPI Number | 1457955130 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457955130 | NPI | - | NPPES |
| 12758890 | Other | FL | CAQU |
| 013793100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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