| Traveling Light Counseling Inc | |
|
1222 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5364 | |
| (772) 361-8448 | |
| (844) 269-6480 |
| Full Name | Traveling Light Counseling Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1222 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Yvette Mcdonald (LCSW/PRESIDENT) |
| Authorized Official Contact | 7723618448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traveling Light Counseling Inc 1222 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5364 Ph: (772) 361-8448 | Traveling Light Counseling Inc 1222 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5364 Ph: (772) 361-8448 |
| NPI Number | 1396100657 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396100657 | NPI | - | NPPES |
| 013286400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW12224 (Florida) | Primary |
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