MEDICARE: TERRY ABELL LMHC

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	MH7549	FL

General Provider Information

NPI Number	:	1295244333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY ABELL LMHC

Provider Business Mailing Address
First Line	:	2699 TALLAVANA TRL
Second Line	:
City	:	HAVANA
State	:	FL
Zip	:	32333-5609
Country	:	US
Telephone Number	:	850-539-1144
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 W 5TH AVE
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-6125
Country	:	US
Telephone Number	:	850-792-5609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2017
Last Update Date	:	09/20/2017

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