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Organization
TGK COUNSELING SERVICE LLC
Active
Organization
TGK COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA GONZALEZ-KURZY LMHC-S, NCC (PRACTICE MANAGER)
(941) 564-7987
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR # 580, ORLANDO, FL 32804-6350
(941) 564-7987
(941) 761-5815
Mailing address
1317 EDGEWATER DR # 580, ORLANDO, FL 32804-6350
(941) 564-7987
(941) 761-5815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013793100
—
FL
01
—
12758890
CAQU
FL
Enumeration date
11/24/2020
Last updated
11/25/2020
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