Healthcare Provider Details
I. General information
NPI: 1063274389
Provider Name (Legal Business Name): HELEN PALMER COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2024
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5118 WAUCHULA RD
MYAKKA CITY FL
34251-9217
US
IV. Provider business mailing address
5118 WAUCHULA RD
MYAKKA CITY FL
34251-9217
US
V. Phone/Fax
- Phone: 727-239-3737
- Fax:
- Phone: 727-239-3737
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HELEN
L
PALMER
Title or Position: OWNER
Credential: LMHC
Phone: 727-239-3737