MEDICARE: URGENT CARE 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	251S00000X	Community/Behavioral Health Agency	MH12746	FL

General Provider Information

NPI Number	:	1871973701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	6320 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3400
Country	:	US
Telephone Number	:	727-271-3872
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3400
Country	:	US
Telephone Number	:	727-271-3872
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	MR. RICHARD LOUIS FINCKE SR.
Credential	:	LMHC
Telephone Number	:	727-271-3872

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	12/27/2016

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