Organization · NPI-2

Atala Counseling, PLLC

Counselor, Mental Health · Lakeland, FL

NPI number1891335188

StatusActive

Last updated in NPPESAug 30, 2024

Details

NPI: 1891335188
Entity type: Organization (NPI-2)
Legal business name: Atala Counseling, PLLC
Organization subpart: No
Enumeration date: Jan 14, 2020
Certification date: Aug 16, 2024
Last updated: Aug 30, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
1041C0700X	Social Worker, Clinical	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–

Practice location

905 S Missouri Ave
Lakeland, FL 33803-1033

Phone 863-450-3626 · Fax 863-274-2237

Mailing address

905 S Missouri Ave
Lakeland, FL 33803-1033

Phone 863-450-3626 · Fax 863-274-2237

Authorized official

Araceli Gauna-Scattolini
Owner
8634503626

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