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NPI Code Detail

MEDICARE: GAINESVILLE COMMUNITY COUNSELING CENTER

MEDICARE: GAINESVILLE COMMUNITY COUNSELING CENTER
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
1106H00000XMarriage & Family Therapist
2261QC1500XCommunity Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MT2733OTHERFLFLORIDA DEPARTMENT OF HEALTH

General Provider Information

NPI Number : 1710470851
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAINESVILLE COMMUNITY COUNSELING CENTER
Provider Business Mailing Address
First Line : PO BOX 36
Second Line :
City : ARCHER
State : FL
Zip : 32618-0036
Country : US
Telephone Number : 352-448-9120
Fax Number :
Provider Business Practice Location Address
First Line : 7106 NW 11TH PL
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-3157
Country : US
Telephone Number : 352-448-9120
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LARRY GREEN
Credential : LMFT
Telephone Number : 352-448-9120
Provider Enumeration Date : 06/13/2018
Last Update Date : 06/02/2026

Similar Medicare Providers

1619281979 — LARRY GREEN LMFT
Practice Location Address:
7106 NW 11TH PL
GAINESVILLE, FL
32605-3157
Practice Phone: 352-448-9120
Practice Fax:
1275514358 — DR. NORMAN S LEVY MD, PHD,
Practice Location Address:
7106 NW 11TH PL , STE B
GAINESVILLE, FL
32605-3157
Practice Phone: 352-331-2020
Practice Fax: 352-331-2019
1356444830 — DR. DAVID ALAN LEVY MD
Practice Location Address:
7106 NW 11TH PL
GAINESVILLE, FL
32605-3157
Practice Phone: 352-331-2020
Practice Fax: 352-331-2019
1346348281 — GEORGE G FEUSSNER MD PA
Practice Location Address:
7106 NW 11TH PLACE , SUITE A
GAINESVILLE, FL
32605-3157
Practice Phone: 352-331-6430
Practice Fax: 352-331-3515
1477278927 — MS. HEATHER LYNN HURWITT LMHC & LMFT
Practice Location Address:
7106 NW 11TH PL
GAINESVILLE, FL
32605-3157
Practice Phone: 352-418-6018
Practice Fax:
1770353351 — A SATISFIED MIND COUNSELING, LLC.
Practice Location Address:
7106 NW 11TH PL
GAINESVILLE, FL
32605-3157
Practice Phone: 352-418-6018
Practice Fax:

Directions to “GAINESVILLE COMMUNITY COUNSELING CENTER ” Practice Location

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