SUPPORTIVE COUNSELING (NPI# 1639624588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639624588 |
Entity Type | Organization |
Organization Name | SUPPORTIVE COUNSELING |
Practice Address |
310 E Main St Avon Park FL 33825-3216 |
Practice Telephone | 3215251556 |
Mailing Telephone | 3215251556 |
Enumeration Date | 2016-08-22 |
Last Update Date | 2016-08-22 |
Authorized Official Name | DR. NAWAL SAJIH ABOULHOSN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3215251556 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | MH 7623 | FL | Agencies |
N | 251S00000X | Community/Behavioral Health | CAP 5229 | FL | Agencies |
Y | 251S00000X | Community/Behavioral Health | MT 2810 | FL | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Supportive Counseling Services PLLC | 14 Consultant Place. Suite 210 A, Durham, NC 27707 |
Colorado Business Entities | Supportive Counseling Services, PLLC | 2323 S. Troy St., Ste. 3-107, Aurora, CO 80014 |
Street Address |
310 E MAIN ST |
City | AVON PARK |
State | FL |
Zip Code | 33825-3216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093737991 | Nawal Sajih Aboul-hosn | Counselor | 310 E Main St, Avon Park, FL 33825-3216 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528537610 | Cristina Marie Rivera | Physical Therapy Assistant | 1010 Us-27, Avon Park, FL 33825 | 2018-11-19 |
1417404021 | Tamara Jean Pierre IIi | Home Health | 742 S Fair View Terr, Avon Park, FL 33825 | 2016-09-01 |
1700017118 | Highlands Advanced Rheumatology and Arthritis Center Pl | Internal Medicine | 596 Us 27 N, Avon Park, FL 33825 | 2009-08-03 |
1942347083 | National Mentor Healthcare, LLC | Intermediate Care Facility, Mentally Retarded | 55 E. College Dr., Avon Park, FL 33825 | 2007-01-30 |
1508803925 | Tina Mclean | Physician Assistant | 1006 West Pleasant Street, Avon Park, FL 33825 | 2006-06-02 |
1265901292 | Stephanie Marie De Silva | Speech-Language Pathologist | 1010 Us-27, Avon Park, FL 33825 | 2018-11-20 |
1831684430 | Elizabeth Rauch | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-06-26 |
1093200693 | Sasha Arbona | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825 | 2018-06-26 |
1336649144 | Teresa Pierre Mcdowall | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-02-19 |
1851700553 | Marisol Caraballo | Internal Medicine | 596 Us Highway 27 N, Avon Park, FL 33825 | 2014-08-06 |
Find all providers in zip 33825 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073763470 | Sebring Psych Med Inc | Community/Behavioral Health | 1753 Us 27 N, Avon Park, FL 33825-9504 | 2008-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
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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.