Provider Demographics
NPI:1710597208
Name:CHALLENGES CONQUERED COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:CHALLENGES CONQUERED COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOB
Authorized Official - Middle Name:WESNER
Authorized Official - Last Name:BRUNAT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, QS
Authorized Official - Phone:781-499-2783
Mailing Address - Street 1:1953 SW 15TH ST APT 71
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-6159
Mailing Address - Country:US
Mailing Address - Phone:561-543-7302
Mailing Address - Fax:
Practice Address - Street 1:242 COMMERCIAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308-4496
Practice Address - Country:US
Practice Address - Phone:781-499-2783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health