| Masterpiece Counseling Llc | |
|
2420 N Crystal Lake Dr Ste 200 Lakeland FL 33801-6205 | |
| (863) 410-2095 | |
| Not Available |
| Full Name | Masterpiece Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2420 N Crystal Lake Dr Ste 200, Lakeland, Florida |
| Authorized Official Name and Position | Michael Gruer Sullivan (OWNER/OPERATOR) |
| Authorized Official Contact | 8634102095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masterpiece Counseling Llc 503 Granby St Lakeland FL 33801-6015 Ph: (863) 838-9437 | Masterpiece Counseling Llc 2420 N Crystal Lake Dr Ste 200 Lakeland FL 33801-6205 Ph: (863) 410-2095 |
| NPI Number | 1164042644 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164042644 | NPI | - | NPPES |
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