Organization
DIVINE CONCEPTS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LEWIS (MANAGER)
(352) 233-6191
Entity
Organization
Contact information
Practice address
15151 S US HIGHWAY 441, SUMMERFIELD, FL 34491-4482
(352) 391-2976
Mailing address
9 LAKE COURT LOOP, OCALA, FL 34472-2785
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH12659
FL
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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