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NPI Code Detail

MEDICARE: THERAPEUTIC COUNSELING SERVICES, LLC

MEDICARE: THERAPEUTIC COUNSELING SERVICES, LLC
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
1251S00000XCommunity/Behavioral Health AgencySW 9194FL

General Provider Information

NPI Number : 1144550021
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 2836
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-7702
Country : US
Telephone Number : 813-943-6335
Fax Number : 813-333-6708
Provider Business Practice Location Address
First Line : 3632 LAND O LAKES BLVD
Second Line : SUITE 106-3
City : LAND O LAKES
State : FL
Zip : 34639-4405
Country : US
Telephone Number : 813-943-6335
Fax Number : 813-333-6708
Authorized Official
Title or Position : OWNER
Name : MS. LINDA SUE HEDSTROM
Credential : LCSW
Telephone Number : 813-943-6335
Provider Enumeration Date : 12/28/2009
Last Update Date : 12/28/2009

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Directions to “THERAPEUTIC COUNSELING SERVICES, LLC ” Practice Location

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