MEDICARE: CHILDREN ARE OUR FUTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH8282	FL

General Provider Information

NPI Number	:	1083161871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN ARE OUR FUTURE

Provider Business Mailing Address
First Line	:	8588 STARKEY RD
Second Line	:	SUITE E
City	:	SEMINOLE
State	:	FL
Zip	:	33777-2831
Country	:	US
Telephone Number	:	727-481-4577
Fax Number	:	727-498-5698

Provider Business Practice Location Address
First Line	:	8588 STARKEY RD
Second Line	:	SUITE E
City	:	SEMINOLE
State	:	FL
Zip	:	33777-2831
Country	:	US
Telephone Number	:	727-481-4577
Fax Number	:	727-498-5698

Authorized Official
Title or Position	:	CEO
Name	:	MS. DANA MAUREEN LUNG
Credential	:	LMHC
Telephone Number	:	727-481-4577

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	09/08/2016

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Directions to “CHILDREN ARE OUR FUTURE ” Practice Location

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