Cobalt Counseling INC.
Clinic/Center, Adult Mental Health in Lakeland, FL. Organization (NPI-2).
NPI number1215754056
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1215754056
- Entity type
- Organization (NPI-2)
- Legal business name
- Cobalt Counseling INC.
- Organization subpart
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
1815 Crystal Lake DrLakeland, FL 33801-5979
Phone 863-370-5668 · Fax 863-816-3017
Mailing address
1815 Crystal Lake Dr Ste 1409Lakeland, FL 33801-5979
Phone 863-370-5668 · Fax 863-816-3017
Authorized official
Suzanne Marie Robertson
Counselor
8633705668
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