Healthcare Provider Details

I. General information

NPI: 1619792041
Provider Name (Legal Business Name): ABEL COUNSELING, CONSULTING, AND MEDIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 WHIRLAWAY CIR
ORLANDO FL
32818-1743
US

IV. Provider business mailing address

6530 WHIRLAWAY CIR
ORLANDO FL
32818-1743
US

V. Phone/Fax

Practice location:
  • Phone: 321-430-5419
  • Fax:
Mailing address:
  • Phone: 321-430-5419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GENA M. ABEL
Title or Position: OWNER
Credential: LMHC
Phone: 321-430-5419