MEDICARE: MAGUIRE 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	:	1972211647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGUIRE COUNSELING LLC

Provider Business Mailing Address
First Line	:	354 CHILEAN AVE APT 3C
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-6020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	354 CHILEAN AVE APT 3C
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-6020
Country	:	US
Telephone Number	:	347-859-7332
Fax Number	:

Authorized Official
Title or Position	:	PROVIDING OWNER
Name	:	MOLLY MAGUIRE
Credential	:	LCSW
Telephone Number	:	347-859-7332

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/30/2022

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