MEDICARE: MR. PAUL J SCHWEINLER LMHC, NCC, DAPA

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	MH5920	FL
2	101Y00000X	Counselor	MH5920	FL
3	101YP2500X	Professional Counselor	MH5920	FL
4	101YP1600X	Pastoral Counselor	MH5920	FL

General Provider Information

NPI Number	:	1477761245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL J SCHWEINLER LMHC, NCC, DAPA

Provider Business Mailing Address
First Line	:	11776 W SAMPLE RD
Second Line	:	SUITE 104
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3180
Country	:	US
Telephone Number	:	954-753-0467
Fax Number	:	954-341-3611

Provider Business Practice Location Address
First Line	:	11776 W SAMPLE RD
Second Line	:	SUITE 104
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3180
Country	:	US
Telephone Number	:	954-753-0467
Fax Number	:	954-341-3611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	03/12/2008

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