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Premium Counseling Group, LLC

Counselor, Addiction (Substance Use Disorder) in Kissimmee, FL. Organization (NPI-2).

NPI number1982127767
StatusActive
Last updated in NPPESJul 24, 2017

Details

NPI
1982127767
Entity type
Organization (NPI-2)
Legal business name
Premium Counseling Group, LLC
Organization subpart
No
Enumeration date
Jul 24, 2017
Last updated
Jul 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CAP100038FLYes

Practice location

3501 W Vine St Ste 352
Kissimmee, FL 34741-4649

Phone 407-910-4880

Mailing address

3501 W Vine St Ste 352
Kissimmee, FL 34741-4649

Phone 407-910-4880

Authorized official

Felix Abdiel Davila Vinales
Ceo/Substance Abuse Counselor
4079104880

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