Provider Demographics
NPI:1356964928
Name:CERTUS COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:CERTUS COUNSELING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:580-917-1379
Mailing Address - Street 1:18166 PARROT RD
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34614-0318
Mailing Address - Country:US
Mailing Address - Phone:727-378-2287
Mailing Address - Fax:727-645-4798
Practice Address - Street 1:18166 PARROT RD
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34614-0318
Practice Address - Country:US
Practice Address - Phone:727-378-2287
Practice Address - Fax:727-645-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty