Provider Demographics
NPI:1467025452
Name:COUPLES COUNSELING OF CENTRAL FLORIDA
Entity Type:Organization
Organization Name:COUPLES COUNSELING OF CENTRAL FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:321-282-3575
Mailing Address - Street 1:924 N MAGNOLIA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3220
Mailing Address - Country:US
Mailing Address - Phone:321-282-3575
Mailing Address - Fax:
Practice Address - Street 1:924 N MAGNOLIA AVE STE 202
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3220
Practice Address - Country:US
Practice Address - Phone:321-282-3575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health