Healthcare Provider Details

I. General information

NPI: 1235645755
Provider Name (Legal Business Name): REST COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 12/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N MAGNOLIA AVE
ORLANDO FL
32801-1364
US

IV. Provider business mailing address

501 N MAGNOLIA AVE
ORLANDO FL
32801-1364
US

V. Phone/Fax

Practice location:
  • Phone: 352-256-7412
  • Fax:
Mailing address:
  • Phone: 407-476-7435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH15528
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH15528
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number1061379
License Number StateFL

VIII. Authorized Official

Name: GUILAINE BELL
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential:
Phone: 407-476-7435