Organization · NPI-2
Hybrid Counseling Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Chiefland, FL
NPI number1245064955
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1245064955
- Entity type
- Organization (NPI-2)
- Legal business name
- Hybrid Counseling Services, LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2469 N Young BlvdChiefland, FL 32626-9181
Phone 352-890-2182
Mailing address
4429 Sw County Road 344Bell, FL 32619-1781
Phone 352-890-2182
Authorized official
Annaliese Foster
Owner
3528902182
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