Organization
ENDURING PEACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY C. ROUSSEAU LMHC (OWNER)
(863) 738-8538
Entity
Organization
Contact information
Practice address
5110 S FLORIDA AVE STE 114, LAKELAND, FL 33813-2517
(863) 738-8538
(863) 510-5903
Mailing address
5110 S FLORIDA AVE STE 114, LAKELAND, FL 33813-2517
(863) 738-8538
(863) 510-5903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH13024
FL
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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