Provider Demographics
NPI:1881040368
Name:NDP COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:NDP COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PALOW
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-848-9948
Mailing Address - Street 1:13506 SUMMERPORT VILLAGE PKWY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7366
Mailing Address - Country:US
Mailing Address - Phone:407-848-9948
Mailing Address - Fax:407-378-4819
Practice Address - Street 1:6735 CONROY WINDERMERE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3565
Practice Address - Country:US
Practice Address - Phone:407-848-9948
Practice Address - Fax:407-378-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13786251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1083952733OtherNPI- INDIVIDUAL