=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194056085
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANALOGY COUNSELING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2010
-----------------------------------------------------
Last Update Date | 05/25/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5350 ATLANTIC AVE STE 10
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33484-8112
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-638-9219
-----------------------------------------------------
Fax | 888-714-0574
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7915 4TH AVE W
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34209-3253
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-240-4910
-----------------------------------------------------
Fax | 888-714-0574
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/PSYCHOTHERAPIST
-----------------------------------------------------
Name | MRS. NANETTE VITALE
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 954-240-4910
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | SW8682
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------