Healthcare Provider Details
I. General information
NPI: 1841140290
Provider Name (Legal Business Name): CORSAIR COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4362 NORTHLAKE BLVD STE 101
PALM BEACH GARDENS FL
33410-6270
US
IV. Provider business mailing address
4362 NORTHLAKE BLVD STE 101
PALM BEACH GARDENS FL
33410-6270
US
V. Phone/Fax
- Phone: 561-662-8207
- Fax:
- Phone: 561-662-8207
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WALTER
F
BIERSCHENK
Title or Position: OWNER
Credential: LMHC
Phone: 561-662-8207