Organization
ABC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA VERMILLERA (OWNER)
(321) 446-2113
Entity
Organization
Contact information
Practice address
1802 S FISKE BLVD STE 201, ROCKLEDGE, FL 32955-3007
(321) 446-2113
(321) 241-4605
Mailing address
1802 S FISKE BLVD STE 201, ROCKLEDGE, FL 32955-3007
(321) 446-2113
(321) 241-4605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9873
FL
101YM0800X
Mental Health Counselor
MH9893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772265
—
FL
Enumeration date
10/05/2017
Last updated
10/31/2023
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