Provider Demographics
NPI:1093399941
Name:PROSPER COUNSELING LLC
Entity Type:Organization
Organization Name:PROSPER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:DWANE
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-753-9688
Mailing Address - Street 1:5006 TROUBLE CREEK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4937
Mailing Address - Country:US
Mailing Address - Phone:727-753-9688
Mailing Address - Fax:
Practice Address - Street 1:5006 TROUBLE CREEK RD STE 100
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4937
Practice Address - Country:US
Practice Address - Phone:727-753-9688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty