MEDICARE: CENTRAL FLORIDA COUNSELING AND CONSULTING

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

Other Identifiers

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

General Provider Information

NPI Number	:	1740874445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA COUNSELING AND CONSULTING

Provider Business Mailing Address
First Line	:	5679 NE 61ST AVENUE RD
Second Line	:
City	:	SILVER SPRINGS
State	:	FL
Zip	:	34488-1243
Country	:	US
Telephone Number	:	352-299-5342
Fax Number	:

Provider Business Practice Location Address
First Line	:	5679 NE 61ST AVENUE RD
Second Line	:
City	:	SILVER SPRINGS
State	:	FL
Zip	:	34488-1243
Country	:	US
Telephone Number	:	352-299-5342
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JILL LYNCH
Credential	:	LMHC
Telephone Number	:	609-969-3377

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	02/23/2021

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Directions to “CENTRAL FLORIDA COUNSELING AND CONSULTING ” Practice Location

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