| Village Counseling Center | |
|
3919 W Newberry Road Suite 5 Gainesville FL 32607-4848 | |
| (352) 373-8189 | |
| (352) 373-8190 |
| Full Name | Village Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3919 W Newberry Road, Gainesville, Florida |
| Authorized Official Name and Position | Robert Dylan Edelman (PRESIDENT/CEO) |
| Authorized Official Contact | 3523738189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Counseling Center 3919 W Newberry Rd Suite 5 Gainesville FL 32607-4828 Ph: (352) 373-8189 | Village Counseling Center 3919 W Newberry Road Suite 5 Gainesville FL 32607-4848 Ph: (352) 373-8189 |
| NPI Number | 1407306897 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407306897 | NPI | - | NPPES |
| 766664100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4473 (Florida) | Primary |
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