Organization Name: | KEY COUNSELING, LLC |
NPI Number: | 1851581250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH CUPO (PRINCIPAL) |
Mailing Address: | 4134 Gulf Of Mexico Dr 208c Longboat Key |
State: | FL US |
Postal Code: | 342282612 |
Phone Number: | 9412288084 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | MH 8909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |