Organization
HIS THERAPEUTIC COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELCIE ARDAIN LCSW (SOCIAL WORKER)
(561) 252-3787
Entity
Organization
Contact information
Practice address
6415 LAKE WORTH RD, SUITE 208, GREENACRES, FL 33463-2910
(561) 252-3787
Mailing address
8387 MYAKKA CT, LAKE WORTH, FL 33467-6228
(561) 252-3787
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW8983
FL
Other
Enumeration date
01/31/2014
Last updated
03/12/2014
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