Provider Demographics
NPI:1871814566
Name:THE CENTER FOR WOMENS HEALTH & SEXUALITY COUNSELING, LLC
Entity Type:Organization
Organization Name:THE CENTER FOR WOMENS HEALTH & SEXUALITY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANDIESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIRES-ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:321-299-7311
Mailing Address - Street 1:4468 GOLDEN RAIN CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-1771
Mailing Address - Country:US
Mailing Address - Phone:321-299-7311
Mailing Address - Fax:866-472-7188
Practice Address - Street 1:4468 GOLDEN RAIN CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-1771
Practice Address - Country:US
Practice Address - Phone:321-299-7311
Practice Address - Fax:866-472-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty