Provider Demographics
NPI:1982158788
Name:ABBA'S HEART COUNSELING CENTER, INC
Entity Type:Organization
Organization Name:ABBA'S HEART COUNSELING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MABE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, NCC, FLQS
Authorized Official - Phone:407-285-6284
Mailing Address - Street 1:118 CALICO RD
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3908
Mailing Address - Country:US
Mailing Address - Phone:407-285-6284
Mailing Address - Fax:407-878-0247
Practice Address - Street 1:1110 DOUGLAS AVE
Practice Address - Street 2:SUITE 2040
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2061
Practice Address - Country:US
Practice Address - Phone:407-285-6284
Practice Address - Fax:407-878-0247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty