Provider Demographics
NPI:1295848703
Name:A COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:A COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:321-636-9941
Mailing Address - Street 1:690 FRIDAY RD
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-3317
Mailing Address - Country:US
Mailing Address - Phone:321-636-9941
Mailing Address - Fax:321-636-0915
Practice Address - Street 1:690 FRIDAY RD
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32926-3317
Practice Address - Country:US
Practice Address - Phone:321-636-9941
Practice Address - Fax:321-636-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ114AOtherBC/BS GROUP PROVIDER #
FLK4058Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER #