| Organization Name: | EMR COUNSELING & THERAPY SERVICES, LLC |
| NPI Number: | 1114340635 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDNA M RODRIGUEZ (PRESIDENT) |
| Mailing Address: | 341 N Maitland Ave Suite 200 Maitland |
| State: | FL US |
| Postal Code: | 327514783 |
| Phone Number: | 4072652100 |
| Fax Number: | 4072652872 |
| NPI Enumeration Date: | 02/04/2014 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 11985 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |