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Organization

ALISA GROVE PA

Active
Parent organization
ALISA GROVE PA
Other names
Always Behavioral Counseling Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALISA GROVE PA
Authorized official
ALISA GROVE LMHC (OWNER/ PRESIDENT)
(407) 421-2031
Entity
Organization

Contact information

Practice address
4408 BEDFORD WAY, LEESBURG, FL 34748-1321
(407) 421-2031
(407) 604-6497
Mailing address
4408 BEDFORD WAY, LEESBURG, FL 34748-1321
(407) 421-2031
(407) 604-6497

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
102L00000X
Psychoanalyst
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122073300
FL
Enumeration date
09/24/2020
Last updated
05/30/2024
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