| Abundant Healing Counseling Center | |
|
740 Westview Dr Minneola FL 34715-5673 | |
| (346) 327-5511 | |
| Not Available |
| Full Name | Abundant Healing Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 740 Westview Dr, Minneola, Florida |
| Authorized Official Name and Position | Natalie Fitz-gordon-lewis (OWNER) |
| Authorized Official Contact | 3522507114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Healing Counseling Center 740 Westview Dr Minneola FL 34715-5673 Ph: () - | Abundant Healing Counseling Center 740 Westview Dr Minneola FL 34715-5673 Ph: (346) 327-5511 |
| NPI Number | 1255169231 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/22/2024 |
| Medicare PECOS PAC ID | 7416481072 |
|---|---|
| Medicare Enrollment ID | O20241105003761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255169231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Natalie Fitz-gordon-lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285013508 PECOS PAC ID: 6002267119 Enrollment ID: I20240112001343 |
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