Provider Demographics
NPI:1700961281
Name:FLORIDA COUNSELING GROUP INC.
Entity Type:Organization
Organization Name:FLORIDA COUNSELING GROUP INC.
Other - Org Name:CAROL L. MOORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-762-0890
Mailing Address - Street 1:11911 US HWY ONE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:561-775-7020
Mailing Address - Fax:561-775-7366
Practice Address - Street 1:11911 US HWY ONE
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408
Practice Address - Country:US
Practice Address - Phone:561-775-7020
Practice Address - Fax:561-775-7366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW52831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9837AMedicare ID - Type UnspecifiedINDIVIDUAL ID FOR OWNER
FLK7197Medicare ID - Type UnspecifiedGROUP MEDICARE ID