# NOVA COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184137051
- **Authorized official:** PILAR GUTIERREZ (LCSW)
- **Authorized official phone:** (772) 320-1557

## Contact information

- **Practice address:** 2500 S KANNER HWY STE 2, STUART, FL 34994-4600
- **Practice address phone:** (772) 212-5327
- **Practice address fax:** (772) 320-1557
- **Mailing address:** 765 SW MCCOMB AVE, PORT ST LUCIE, FL 34953-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2017
- **Last updated:** 11/14/2017