TEMPLE LEGACY COUNSELING, LLC (NPI# 1609433507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609433507 |
| Entity Type | Organization |
| Organization Name | TEMPLE LEGACY COUNSELING, LLC |
| Practice Address |
5137 N Scenic Hwy Lot 44 Lake Wales FL 33898-1900 |
| Practice Telephone | 8632216700 |
| Mailing Telephone | 2672588423 |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2019-05-26 |
| Authorized Official Name | MS. SABRINA ROSEMARY GONZALEZ (OWNER) |
| Authorized Official Telephone | 2672588423 |
| Authorized Official Credential | DSW-LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| TLC Counseling | Doing Business As Name - Organization |
| Street Address |
5137 N SCENIC HWY LOT 44 |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33898-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457380974 | Maurice Anthony Ramirez | Emergency Medicine | 4800 Ben Hill Trail, Lake Wales, FL 33898 | 2006-06-30 |
| 1083045819 | Wendy Warman | Speech-Language Pathologist | 2803 Club Cir, Lake Wales, FL 33898-4702 | 2013-12-04 |
| 1285650648 | Rehab Frontier, LLC | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1770694333 | Lorinda C Grajo | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-08-31 |
| 1780600155 | Lowell S Liwanag | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1912923384 | Gladys S Quizon | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1437175809 | Sherly P Geonzon | Physical Therapist | 2027 State Road 60 E, Lake Wales, FL 33898-5113 | 2006-07-15 |
| 1255497046 | Mckeon Chiropractic Clinic Pa | Chiropractor | 2433 Stateroad 60 East, Lake Wales, FL 33898-5122 | 2006-12-28 |
| 1649216714 | Mark John Mckeon | Chiropractor | 2433 State Road 60 E, Lake Wales, FL 33898-5122 | 2006-06-20 |
| 1548805856 | Lacey Whatley | Family Medicine | 2433 State Road 60 E, Lake Wales, FL 33898-5122 | 2019-11-11 |
| Find all providers in zip 33898 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669730495 | Charlene G Bennett | Social Worker | 929 Carlton Ave, Lake Wales, FL 33853-4238 | 2012-04-30 |
| 1417074014 | Stephanie Ann Tillman | Social Worker | 820 Chamberlain Loop, Lake Wales, FL 33853-2800 | 2007-03-26 |
| 1356544654 | Rita Ryan Ryan | Social Worker | 555 Burns Ave, Lake Wales, FL 33853-3335 | 2007-06-06 |
| 1275588402 | Colette Braunstein | Social Worker | 749 State Road 60 E, Lake Wales, FL 33853-4240 | 2006-05-24 |
| 1639124100 | Victoria De Lissovoy | Social Worker | 1109 Bryn Mawr Ave, Lake Wales, FL 33853-4333 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679303 | Kamarie Lee Larson | Social Worker | 913 Gulf Breeze Pkwy Ste 26b, Gulf Breeze, FL 32561-4731 | 2020-11-08 |
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1356942262 | Shirley Roseman | Social Worker | 1450 E Sample Rd Apt 101, Pompano Beach, FL 33064-6267 | 2020-11-06 |
| 1760083729 | Phoenix Marie Klemann | Social Worker | 3311 Mona Dr, Navarre, FL 32566-9742 | 2020-11-05 |
| 1679174726 | Violett Counseling & Consulting Services LLC | Social Worker | 30 Wisteria Dr, Ormond Beach, FL 32176-2408 | 2020-11-05 |
| 1336740422 | Marissa Pinto | Social Worker | 3642 Eldron Ave, North Port, FL 34286-7453 | 2020-11-04 |
| 1710588991 | Mario Jesus Noguera | Social Worker | 18179 Nw 73rd Ave, Hialeah, FL 33015-6198 | 2020-11-04 |
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1902407299 | Beverly Diane Sweeting | Social Worker | 10961 Sw Ivory Springs Ln, Port St Lucie, FL 34987-7710 | 2020-11-04 |
| 1174124622 | Cardinal Counseling Services, LLC | Social Worker | 2161 16th Ave Sw, Naples, FL 34117-4338 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33898 |
Please comment or provide details below to improve the information on TEMPLE LEGACY COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.