Provider Demographics
NPI:1639682297
Name:SENIOR COUNSELING GROUP, LLC
Entity Type:Organization
Organization Name:SENIOR COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCHALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-591-9374
Mailing Address - Street 1:3270 SUNTREE BLVD STE 2217
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7558
Mailing Address - Country:US
Mailing Address - Phone:321-591-9374
Mailing Address - Fax:
Practice Address - Street 1:3270 SUNTREE BLVD STE 2217
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7558
Practice Address - Country:US
Practice Address - Phone:321-591-9374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty