| Choicesfla Counseling Services Llc | |
|
17030 Nw 162nd Ter Williston FL 32696-4329 | |
| (352) 441-4373 | |
| Not Available |
| Full Name | Choicesfla Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17030 Nw 162nd Ter, Williston, Florida |
| Authorized Official Name and Position | Tori S Wallace-jackson (LICENSENED CLINICIAN) |
| Authorized Official Contact | 3524414373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choicesfla Counseling Services Llc 17030 Nw 162nd Ter Williston FL 32696-4329 Ph: (352) 441-4373 | Choicesfla Counseling Services Llc 17030 Nw 162nd Ter Williston FL 32696-4329 Ph: (352) 441-4373 |
| NPI Number | 1447852959 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447852959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Carmen I Tozzo Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 630 N Main St, Williston, FL 32696 Phone: 352-529-2570 Fax: 352-529-2570 |