| Counseling Associates Of Lake Mary, Inc | |
|
8340 Sw Sundance Cir Stuart FL 34997-4847 | |
| (304) 699-2256 | |
| (844) 617-1549 |
| Full Name | Counseling Associates Of Lake Mary, Inc |
|---|---|
| Speciality | Counselor |
| Location | 8340 Sw Sundance Cir, Stuart, Florida |
| Authorized Official Name and Position | Jodi Whitten Miller (PRESIDENT) |
| Authorized Official Contact | 3046092256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Lake Mary, Inc 8340 Sw Sundance Cir Stuart FL 34997-4847 Ph: (304) 699-2256 | Counseling Associates Of Lake Mary, Inc 8340 Sw Sundance Cir Stuart FL 34997-4847 Ph: (304) 699-2256 |
| NPI Number | 1679044242 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 8527584127 |
|---|---|
| Medicare Enrollment ID | O20250428001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679044242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jodi Whitten Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912959222 PECOS PAC ID: 1557722311 Enrollment ID: I20250428001143 |
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