Healthcare Provider Details

I. General information

NPI: 1538424130
Provider Name (Legal Business Name): URBAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 SE 18TH PL SUITE 400
OCALA FL
34471-5422
US

IV. Provider business mailing address

1130 SE 18TH PL SUITE 400
OCALA FL
34471-5422
US

V. Phone/Fax

Practice location:
  • Phone: 352-390-6659
  • Fax: 352-390-8756
Mailing address:
  • Phone: 352-390-6659
  • Fax: 352-390-8756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9889
License Number StateFL

VIII. Authorized Official

Name: JOYCE K URBAN
Title or Position: OWNER
Credential: M.A., L.M.H.C.
Phone: 352-390-6659