SACRED WINGS COUNSELING LLC NPI 1205613445

NPI Details

SACRED WINGS COUNSELING, LLC is a clinical social worker in Lake City, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SACRED WINGS COUNSELING, LLC NPI is 1205613445. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

826 SW MAIN BLVD STE 102
LAKE CITY, FL
ZIP 32025-742
Phone: (386) 984-5366
Fax: (386) 287-6525

The provider's authorized official is Amanda Manske .
The authorized official title is Mental Health Therapist and has the following contact phone number (386) 984-5366.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: