Provider Demographics
NPI:1043688773
Name:COUNSELING OPTIONS LLC
Entity Type:Organization
Organization Name:COUNSELING OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:TEESE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CAP
Authorized Official - Phone:727-491-3033
Mailing Address - Street 1:3270 CAUSEWAY DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1504
Mailing Address - Country:US
Mailing Address - Phone:727-491-3033
Mailing Address - Fax:
Practice Address - Street 1:2706 ALTERNATE 19 N
Practice Address - Street 2:SUITE 219
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683
Practice Address - Country:US
Practice Address - Phone:727-491-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2746101YA0400X
FLSW64831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty