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NPI Code Detail

MEDICARE: ABC COUNSELING LLC

MEDICARE: ABC COUNSELING 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
1101YM0800XMental Health CounselorMH9893FL
2101YM0800XMental Health CounselorMH9873FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194235069
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC COUNSELING LLC
Provider Business Mailing Address
First Line : 1802 S FISKE BLVD STE 201
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3007
Country : US
Telephone Number : 321-446-2113
Fax Number : 321-241-4605
Provider Business Practice Location Address
First Line : 1802 S FISKE BLVD STE 201
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3007
Country : US
Telephone Number : 321-446-2113
Fax Number : 321-241-4605
Authorized Official
Title or Position : OWNER
Name : CHRISTA VERMILLERA
Credential :
Telephone Number : 321-446-2113
Provider Enumeration Date : 10/05/2017
Last Update Date : 10/31/2023

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Directions to “ABC COUNSELING LLC ” Practice Location

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