| Christian Counseling Center | |
|
13309 Walden Sheffield Rd Dover FL 33527-5547 | |
| (813) 763-5978 | |
| Not Available |
| Full Name | Christian Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13309 Walden Sheffield Rd, Dover, Florida |
| Authorized Official Name and Position | Waylon Arnold Carlisle (OWNER) |
| Authorized Official Contact | 8137635978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Counseling Center 13309 Walden Sheffield Rd Dover FL 33527-5547 Ph: (813) 763-5978 | Christian Counseling Center 13309 Walden Sheffield Rd Dover FL 33527-5547 Ph: (813) 763-5978 |
| NPI Number | 1033588447 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033588447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CPY0011301094 FACCT (Florida) | Primary |
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