Provider Demographics
NPI:1265752448
Name:INNER STRENGTH COUNSELING LLC
Entity type:Organization
Organization Name:INNER STRENGTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:F
Authorized Official - Last Name:SALEMI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-418-0735
Mailing Address - Street 1:1425 HILL DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4605
Mailing Address - Country:US
Mailing Address - Phone:727-418-0735
Mailing Address - Fax:866-706-0538
Practice Address - Street 1:801 W BAY DR
Practice Address - Street 2:SUITE 422
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3269
Practice Address - Country:US
Practice Address - Phone:727-418-0735
Practice Address - Fax:866-706-0538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW96201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
12073150OtherCAQH