Basic Information
| Provider Information | |||||||||
| NPI: | 1700961281 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FLORIDA COUNSELING GROUP INC. | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | CAROL L. MOORE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11911 US HWY ONE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NORTH PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617757020 | ||||||||
| FaxNumber: | 5617757366 | ||||||||
| Practice Location | |||||||||
| Address1: | 11911 US HWY ONE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NORTH PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617757020 | ||||||||
| FaxNumber: | 5617757366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MOORE | ||||||||
| AuthorizedOfficialFirstName: | CAROL | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5617620890 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SW5283 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.