Organization Name: | LABELLE COUNSELING CENTER |
NPI Number: | 1518379445 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET M FENNER (OWNER) |
Mailing Address: | 94 N Hall St Labelle |
State: | FL US |
Postal Code: | 339355250 |
Phone Number: | 8636756776 |
Fax Number: | 8636756778 |
NPI Enumeration Date: | 05/27/2014 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1388222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |