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NPI Code Detail

MEDICARE: KINDNESS COUNSELING WELLNESS CENTER PLLC

MEDICARE: KINDNESS COUNSELING WELLNESS CENTER PLLC
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1386358752
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDNESS COUNSELING WELLNESS CENTER PLLC
Provider Business Mailing Address
First Line : 1073 WILLA SPRINGS DR STE 2013
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-6625
Country : US
Telephone Number : 407-753-7473
Fax Number :
Provider Business Practice Location Address
First Line : 1073 WILLA SPRINGS DR STE 2013
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-6625
Country : US
Telephone Number : 407-753-7473
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : JENNIFER FARRELL
Credential : PSYD
Telephone Number : 407-753-7473
Provider Enumeration Date : 01/10/2023
Last Update Date : 01/18/2024

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Directions to “KINDNESS COUNSELING WELLNESS CENTER PLLC ” Practice Location

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