Organization · Type 2 NPI
Upper Room Counseling Center, Inc.
Mental Health Counselor · Fruitland Park, FL
NPI number
1134439235
Active
Practice location
3420 Hwy 27/441
Fruitland Park, FL 34731-4474
Fax (352) 435-4632
Mailing address
3420 Hwy 441/27
Fruitland Park, FL 34731-4474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | MH-4358 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH-4358 (FL) |
| Mental Health Counselor Primary | 101YM0800X | MH-4358 (FL) |
| Pastoral Counselor | 101YP1600X | MH-4358 (FL) |
| Professional Counselor | 101YP2500X | MH-4358 (FL) |
| Psychoanalyst | 102L00000X | MH-4358 (FL) |
| Marriage & Family Therapist | 106H00000X | MH-4358 (FL) |
Mental Health Counselor: Definition to come...
About NPI 1134439235
Upper Room Counseling Center, Inc.'s National Provider Identifier is 1134439235, issued on Oct 7, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fruitland Park, FL. The record was last updated on Jul 31, 2012.