MEDICARE: VANTAGE POINT 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1184419004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANTAGE POINT COUNSELING AND CONSULTING LLC

Provider Business Mailing Address
First Line	:	1226 SW MEDINA AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-5014
Country	:	US
Telephone Number	:	561-463-6061
Fax Number	:

Provider Business Practice Location Address
First Line	:	1226 SW MEDINA AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-5014
Country	:	US
Telephone Number	:	561-463-6061
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. HOPE KLECKLEY
Credential	:	LMHC
Telephone Number	:	561-463-6061

Provider Enumeration Date	:	04/11/2025
Last Update Date	:	04/11/2025

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