Provider Demographics
NPI:1669803656
Name:SEED COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:SEED COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:SEED
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-780-0798
Mailing Address - Street 1:1101 MIRANDA LN
Mailing Address - Street 2:SUITE 123
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-0769
Mailing Address - Country:US
Mailing Address - Phone:407-780-0798
Mailing Address - Fax:407-847-6641
Practice Address - Street 1:1101 MIRANDA LN
Practice Address - Street 2:SUITE 123
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-0769
Practice Address - Country:US
Practice Address - Phone:407-780-0798
Practice Address - Fax:407-847-6641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW9168251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health