MEDICARE: MENSCHNER & ASSOCIATES COUNSELING SERVICES INC

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	:	1447394887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENSCHNER & ASSOCIATES COUNSELING SERVICES INC

Provider Business Mailing Address
First Line	:	375 DOUGLAS AVE
Second Line	:	#2005
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3315
Country	:	US
Telephone Number	:	407-529-5359
Fax Number	:	407-682-4405

Provider Business Practice Location Address
First Line	:	375 DOUGLAS AVE
Second Line	:	#2005
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3315
Country	:	US
Telephone Number	:	407-529-5359
Fax Number	:	407-682-4405

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PHILLIS MENSCHNER
Credential	:	LCSW
Telephone Number	:	407-529-5359

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	08/22/2020

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