Organization
FRINGE COUNSELING COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE BUNTIN LCSW (PRESIDENT)
(321) 246-4581
Entity
Organization
Contact information
Practice address
853 STATE ROAD 436 STE 1051, CASSELBERRY, FL 32707-5401
(321) 246-4581
Mailing address
853 STATE ROAD 436 STE 1051, CASSELBERRY, FL 32707-5401
(321) 246-4581
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
05/23/2025
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