| Counseling Specialists, Inc. | |
|
610 N. Wymore Rd. Suite 110 Maitland FL 32751 | |
| (321) 279-0290 | |
| (407) 637-5451 |
| Full Name | Counseling Specialists, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 610 N. Wymore Rd., Maitland, Florida |
| Authorized Official Name and Position | Heidi Michelle Jackson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3212790290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Specialists, Inc. 610 N. Wymore Rd. Suite 110 Maitland FL 32751 Ph: (321) 279-0290 | Counseling Specialists, Inc. 610 N. Wymore Rd. Suite 110 Maitland FL 32751 Ph: (321) 279-0290 |
| NPI Number | 1184255929 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184255929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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