Provider Demographics
NPI:1851993596
Name:TALLAHASSEE COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:TALLAHASSEE COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUSTYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DER LINDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-510-8778
Mailing Address - Street 1:2354 CHRISTOPHER PL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4109
Mailing Address - Country:US
Mailing Address - Phone:850-510-8778
Mailing Address - Fax:850-668-8047
Practice Address - Street 1:2354 CHRISTOPHER PL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4109
Practice Address - Country:US
Practice Address - Phone:850-510-8778
Practice Address - Fax:850-668-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty