Village Counseling Center | |
100 Sw 75th St Suite 107 Gainesville FL 32607-5779 | |
(352) 331-4621 | |
(352) 331-4681 |
Full Name | Village Counseling Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 100 Sw 75th St, Gainesville, Florida |
Authorized Official Name and Position | Robert D. Edelman (CEO, PRESIDENT) |
Authorized Official Contact | 3523314681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Village Counseling Center 100 Sw 75th St Suite 107 Gainesville FL 32607-5779 Ph: (352) 331-4621 | Village Counseling Center 100 Sw 75th St Suite 107 Gainesville FL 32607-5779 Ph: (352) 331-4621 |
NPI Number | 1013048917 |
---|---|
Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013048917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH4473 (Florida) | Primary |
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