MEDICARE: HERE FOR YOU COUNSELING AND CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013529866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERE FOR YOU COUNSELING AND CONSULTING LLC

Provider Business Mailing Address
First Line	:	3035 SE MARICAMP RD UNIT 104
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-6201
Country	:	US
Telephone Number	:	386-546-5851
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 CENTRAL FLORIDA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32816-6201
Country	:	US
Telephone Number	:	386-546-5851
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAKESHIA YVETTE MCGRUDER
Credential	:	LCSW
Telephone Number	:	386-546-5851

Provider Enumeration Date	:	08/21/2020
Last Update Date	:	08/21/2020

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