Healthcare Provider Details

I. General information

NPI: 1487518908
Provider Name (Legal Business Name): INNER ECHO COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

922 SANDTREE DR
PALM BEACH GARDENS FL
33403-1511
US

IV. Provider business mailing address

922 SANDTREE DR
PALM BEACH GARDENS FL
33403-1511
US

V. Phone/Fax

Practice location:
  • Phone: 518-567-9572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: THEO HAMMOND
Title or Position: MSW
Credential:
Phone: 518-567-9572