| Innovative Counseling Llc | |
|
25251 Sr 54,pmb 205 Wesley Chapel FL 33544 | |
| (813) 322-3850 | |
| Not Available |
| Full Name | Innovative Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 25251 Sr 54,pmb 205, Wesley Chapel, Florida |
| Authorized Official Name and Position | Jeffrey Brian Smialek (MANAGING MEMBER) |
| Authorized Official Contact | 8138383074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Counseling Llc 7251 Sr 54,pmb 205 Wesley Chapel FL 33544 Ph: (813) 322-3850 | Innovative Counseling Llc 25251 Sr 54,pmb 205 Wesley Chapel FL 33544 Ph: (813) 322-3850 |
| NPI Number | 1508100819 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508100819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | MH9288 (Florida) | Primary |
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