| Organization Name: | PINECREST COUNSELING |
| NPI Number: | 1689080780 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRIS MORE (PRESIDENT.) |
| Mailing Address: | 12368 Sw 82 Ave Pinecrest |
| State: | FL US |
| Postal Code: | 33156 |
| Phone Number: | 3056675595 |
| Fax Number: | 3052596015 |
| NPI Enumeration Date: | 07/09/2014 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |