# PROFESSIONAL COUNSELING ASSOCIATES CENTER

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

## Provider details

- **NPI number:** 1790350502
- **Authorized official:** ALICIA CARMEN OLIVARES PHD, LMHC, MCAP (CLINICAL SUPERVISOR)
- **Authorized official phone:** (321) 442-6665

## Contact information

- **Practice address:** 21 B ST, HAINES CITY, FL 33844-5025
- **Practice address phone:** (321) 442-6665
- **Practice address fax:** (800) 883-7015
- **Mailing address:** 21 B ST, HAINES CITY, FL 33844-5025
- **Mailing address phone:** (321) 442-6665
- **Mailing address fax:** (800) 883-7015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2021
- **Last updated:** 09/06/2023