| Family Life Counseling Center Llc | |
|
858 S Duncan Dr Tavares FL 32778-4044 | |
| (352) 988-6673 | |
| Not Available |
| Full Name | Family Life Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 858 S Duncan Dr, Tavares, Florida |
| Authorized Official Name and Position | Damaris Reveron (OFFICE MANAGER) |
| Authorized Official Contact | 3529886673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Counseling Center Llc 1230 Oakley Seaver Dr Ste 307 Clermont FL 34711-1961 Ph: (352) 988-6673 | Family Life Counseling Center Llc 858 S Duncan Dr Tavares FL 32778-4044 Ph: (352) 988-6673 |
| NPI Number | 1215509120 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215509120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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