Provider Demographics
NPI:1740995877
Name:ABSOLUTE VICTORY COUNSELING
Entity type:Organization
Organization Name:ABSOLUTE VICTORY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:321-258-5512
Mailing Address - Street 1:3750 SAWGRASS DR
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-3415
Mailing Address - Country:US
Mailing Address - Phone:321-258-5512
Mailing Address - Fax:
Practice Address - Street 1:3750 SAWGRASS DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-3415
Practice Address - Country:US
Practice Address - Phone:321-258-5512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty