Provider Demographics
NPI:1003030313
Name:WANNERS' COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:WANNERS' COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSON-WANNER
Authorized Official - Suffix:
Authorized Official - Credentials:MED COUNSELING
Authorized Official - Phone:352-873-4447
Mailing Address - Street 1:108 N. MAGNOLIA AVE
Mailing Address - Street 2:SUITE 500 B
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-6612
Mailing Address - Country:US
Mailing Address - Phone:352-873-4447
Mailing Address - Fax:352-873-4853
Practice Address - Street 1:648 SE 19TH STREET
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5325
Practice Address - Country:US
Practice Address - Phone:352-873-4447
Practice Address - Fax:352-873-4853
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WANNERS' COUNSELING SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-11
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty