# CLELLAND COUNSELING & CONSULTING SERVICES, P.A.

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

## Provider details

- **NPI number:** 1184934671
- **Authorized official:** MS. GAYLE L. CLELLAND L.C.S.W. (PSYCHOTHERAPIST/OWNER)
- **Authorized official phone:** (772) 643-2838

## Contact information

- **Practice address:** 620 HELICON TER, SEBASTIAN, FL 32958-5954
- **Practice address phone:** (772) 643-2838
- **Mailing address:** 620 HELICON TER, SEBASTIAN, FL 32958-5954
- **Mailing address phone:** (772) 643-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | SW9419 | FL | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 03/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1598842528 | INDIVIDUAL NATIONAL PROVIDER IDENTIFIER | FL |