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NPI Code Detail

MEDICARE: MEADOWBROOK COUNSELING OF FLORIDA, LLC

MEDICARE: MEADOWBROOK COUNSELING OF FLORIDA, 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
1106H00000XMarriage & Family Therapist
2101YM0800XMental Health Counselor
3103TC1900XCounseling Psychologist
41041C0700XClinical Social Worker

General Provider Information

NPI Number : 1962266635
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEADOWBROOK COUNSELING OF FLORIDA, LLC
Provider Business Mailing Address
First Line : 1469 N 1200 W
Second Line :
City : OREM
State : UT
Zip : 84057-2449
Country : US
Telephone Number : 801-655-5450
Fax Number : 385-225-9327
Provider Business Practice Location Address
First Line : 850 CONCOURSE PKWY S STE 200
Second Line :
City : MAITLAND
State : FL
Zip : 32751-6145
Country : US
Telephone Number : 801-655-5450
Fax Number : 385-225-9327
Authorized Official
Title or Position : OWNER, THERAPIST
Name : WHITNEY HEBBERT
Credential : LMFT
Telephone Number : 801-655-5450
Provider Enumeration Date : 02/12/2024
Last Update Date : 04/02/2026

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