Provider Demographics
NPI:1609113141
Name:MULTICULTURAL COUNSELING CENTERS
Entity Type:Organization
Organization Name:MULTICULTURAL COUNSELING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:ENLISH
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:407-740-8899
Mailing Address - Street 1:1850 LEE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2107
Mailing Address - Country:US
Mailing Address - Phone:407-740-8899
Mailing Address - Fax:407-740-8771
Practice Address - Street 1:1850 LEE RD STE 300
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2107
Practice Address - Country:US
Practice Address - Phone:407-740-8899
Practice Address - Fax:407-740-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2166101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty