SOUTHEASTERN COUNSELING AND CONSULTATION LLC NPI 1306344502

NPI Information

NPI: 1306344502
Provider Name: SOUTHEASTERN COUNSELING AND CONSULTATION LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5024 NW 27TH CT STE B
GAINESVILLE, FL
ZIP 32606
Phone: (352) 375-4440
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SOUTHEASTERN COUNSELING AND CONSULTATION LLC is a mental health counselor in Gainesville, FL. SOUTHEASTERN COUNSELING AND CONSULTATION LLC NPI is 1306344502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5024 NW 27TH CT STE B
GAINESVILLE, FL
ZIP 32606-545
Phone: (352) 375-4440
Fax: (352) 378-1828

The provider's authorized official is Alfred Grant Mcdougall .
The authorized official title is Owner and has the following contact phone number (352) 318-8750.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 1/23/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH5756	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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