Pine Grove Counseling Llc
LBN: Pine Grove Counseling Llc
Pine Grove Counseling Llc is an health care organization with primary practice located at 539 Se Van Loon Ter , Cape Coral FL 33990-1157. 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.
Pine Grove Counseling Llc can be contacted via phone (941) 763-0724, or through Grove, Christopher Eric via phone (941) 763-0724.
Contact Information
Primary practice address
539 Se Van Loon Ter
Cape Coral FL 33990-1157
Phone: (941) 763-0724
Fax: (239) 567-9671
Website:
Authorized official contact:
Name: Grove, Christopher Eric Licensed Clinical Social Worker (LCSW)
Phone: (941) 763-0724
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1255931101 |
|---|---|
| LBN Legal business name | Pine Grove Counseling Llc |
| DBA Doing business as | |
| Authorized official | Grove, Christopher Eric Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2020 |
| Last updated | Oct 29th, 2020 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255931101 | NPPES |
| Florida | MEDICAID | 1992144810 |
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