MEDICARE: GNS 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1598584419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GNS COUNSELING LLC

Provider Business Mailing Address
First Line	:	1831 LAKE COVE DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1831 LAKE COVE DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6231
Country	:	US
Telephone Number	:	561-403-9151
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CALVIN SLOAN
Credential	:
Telephone Number	:	561-403-9151

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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Directions to “GNS COUNSELING LLC ” Practice Location

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