Provider Demographics
NPI:1023317138
Name:ESTAR COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:ESTAR COUNSELING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D.
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD
Authorized Official - Phone:941-564-8734
Mailing Address - Street 1:PO BOX 6728
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34290-6728
Mailing Address - Country:US
Mailing Address - Phone:941-685-8654
Mailing Address - Fax:941-876-3452
Practice Address - Street 1:2571 N TOLEDO BLADE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34289-9351
Practice Address - Country:US
Practice Address - Phone:941-685-8654
Practice Address - Fax:941-876-3452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9594251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health