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VILLAGE COUNSELING CENTER OF GAINESVILLE INC. NPI 1407306897


NPI Information

NPI: 1407306897
Provider Name: VILLAGE COUNSELING CENTER OF GAINESVILLE, INC.

Doing Business As: VILLAGE COUNSELING CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3919 W NEWBERRY ROAD
SUITE 5
GAINESVILLE, FL
ZIP 32607
Phone: (352) 373-8189
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VILLAGE COUNSELING CENTER OF GAINESVILLE, INC. is a mental health counselor in Gainesville, FL. VILLAGE COUNSELING CENTER OF GAINESVILLE, INC. NPI is 1407306897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Village Counseling Center.

The provider's business location address is:

3919 W NEWBERRY ROAD
SUITE 5
GAINESVILLE, FL
ZIP 32607-848
Phone: (352) 373-8189
Fax: (352) 373-8190

The provider's authorized official is Robert Dylan Edelman .
The authorized official title is President/ceo and has the following contact phone number (352) 373-8189.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthMH4473FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1766664100MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.