MEDICARE: EXPERIENCE MATTERS COUNSELING, 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1245184092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPERIENCE MATTERS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	222 SW BRIDGEPORT DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-7111
Country	:	US
Telephone Number	:	561-888-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 SW BRIDGEPORT DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-7111
Country	:	US
Telephone Number	:	561-888-9500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM PARKER
Credential	:	LMHC
Telephone Number	:	561-888-9500

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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