Organization
CHRISTIAN COUNSELING CENTER
Active
Organization
CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYLON ARNOLD CARLISLE PH.D. PSYCHOLOGIST (OWNER)
(813) 763-5978
Entity
Organization
Contact information
Practice address
13309 WALDEN SHEFFIELD RD, DOVER, FL 33527-5547
(813) 763-5978
Mailing address
13309 WALDEN SHEFFIELD RD, DOVER, FL 33527-5547
(813) 763-5978
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CPY0011301094 FACCT
FL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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