Black Swan Counseling Services, Llc

LBN: Black Swan Counseling Services, Llc
Black Swan Counseling Services, Llc is an health care organization with primary practice located at 122 E Main St , Lakeland FL 33801-4655. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Black Swan Counseling Services, Llc can be contacted via phone (863) 667-8570, or through Berry, Kevin via phone (863) 667-8570.

Contact Information

Primary practice address
122 E Main St Lakeland FL 33801-4655
Phone: (863) 667-8570
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Kevin LMHC
Phone: (863) 667-8570

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841070109
LBN Legal business name Black Swan Counseling Services, Llc
DBA Doing business as
Authorized official Berry, Kevin LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2023
Last updated Oct 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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