Provider Demographics
NPI:1346669876
Name:DIVASILE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:DIVASILE ENTERPRISES, INC.
Other - Org Name:THE COUNSELING PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ELISA
Authorized Official - Last Name:DILLINGER-VASILE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-278-5757
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34697-0285
Mailing Address - Country:US
Mailing Address - Phone:727-278-5757
Mailing Address - Fax:866-266-6555
Practice Address - Street 1:1698 S BELCHER RD
Practice Address - Street 2:ROOM 5
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6517
Practice Address - Country:US
Practice Address - Phone:727-278-5757
Practice Address - Fax:866-266-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-11
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10875261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)