Provider Demographics
NPI:1255605432
Name:COUNSELING & RESOURCE CENTER
Entity type:Organization
Organization Name:COUNSELING & RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:H
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LNJC
Authorized Official - Phone:352-732-3771
Mailing Address - Street 1:2801 SW COLLEGE RD
Mailing Address - Street 2:STE 21
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7406
Mailing Address - Country:US
Mailing Address - Phone:352-861-8044
Mailing Address - Fax:352-861-8868
Practice Address - Street 1:2801 SW COLLEGE RD
Practice Address - Street 2:STE 21
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7406
Practice Address - Country:US
Practice Address - Phone:352-861-8044
Practice Address - Fax:352-861-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLN02580251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health