Provider Demographics
NPI:1265462055
Name:FLORIDA COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:FLORIDA COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:ECKMAN
Authorized Official - Last Name:ORNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-725-9263
Mailing Address - Street 1:10 FAIRWAY DR
Mailing Address - Street 2:SUITE 122
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1812
Mailing Address - Country:US
Mailing Address - Phone:954-725-9263
Mailing Address - Fax:954-725-9264
Practice Address - Street 1:10 FAIRWAY DR
Practice Address - Street 2:SUITE 122
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1812
Practice Address - Country:US
Practice Address - Phone:954-725-9263
Practice Address - Fax:954-725-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7509261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)