| Professional Counseling Associates Center | |
|
316 N John Young Pkwy Ste 4 Kissimmee FL 34741-4981 | |
| (321) 442-6665 | |
| Not Available |
| Full Name | Professional Counseling Associates Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 316 N John Young Pkwy Ste 4, Kissimmee, Florida |
| Authorized Official Name and Position | Alicia C Olivares (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 3214426665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Associates Center 21 B St Haines City FL 33844-5025 Ph: (321) 442-6665 | Professional Counseling Associates Center 316 N John Young Pkwy Ste 4 Kissimmee FL 34741-4981 Ph: (321) 442-6665 |
| NPI Number | 1821468539 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821468539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ADC-001479-2014 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH11233 (Florida) | Primary |
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