Victory Counseling Services Llc | |
108 Robin Rd Ste 1002 Altamonte Springs FL 32701-5035 | |
(689) 777-3152 | |
Not Available |
Full Name | Victory Counseling Services Llc |
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Speciality | Counselor |
Location | 108 Robin Rd Ste 1002, Altamonte Springs, Florida |
Authorized Official Name and Position | Patricia Avalos (OWNER) |
Authorized Official Contact | 6897773152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Victory Counseling Services Llc 1713 Billie Lynn Pt Sanford FL 32773-7049 Ph: (689) 777-3152 | Victory Counseling Services Llc 108 Robin Rd Ste 1002 Altamonte Springs FL 32701-5035 Ph: (689) 777-3152 |
NPI Number | 1114781390 |
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Provider Enumeration Date | 02/08/2024 |
Last Update Date | 02/08/2024 |
Certification Date | 02/08/2024 |
Medicare PECOS PAC ID | 5991146060 |
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Medicare Enrollment ID | O20240508000268 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114781390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Patricia Avalos |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225644594 PECOS PAC ID: 8729429808 Enrollment ID: I20240508000853 |
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