Provider Demographics
NPI:1922425255
Name:CONSUMER SUPPORT NETWORK, LTD. CO.
Entity Type:Organization
Organization Name:CONSUMER SUPPORT NETWORK, LTD. CO.
Other - Org Name:CONSUNET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:772-871-7863
Mailing Address - Street 1:2833 SW BRIGHTON ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3265
Mailing Address - Country:US
Mailing Address - Phone:772-871-7863
Mailing Address - Fax:561-200-6271
Practice Address - Street 1:2833 SW BRIGHTON ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3265
Practice Address - Country:US
Practice Address - Phone:772-871-7863
Practice Address - Fax:561-200-6271
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSUMER SUPPORT NETWORK, LTD. CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care