Individual
MRS. CHARLEEN KAY STROUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPN, CAP, BCPC
Contact information
Practice address
107 MEDICAL CENTER AVE, SEBRING, FL 33870-5423
(863) 381-4410
(863) 382-6299
Mailing address
107 MEDICAL CENTER AVE, P.O. BOX 8952, SEBRING, FL 33870-5423
(863) 381-4410
(863) 382-6299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 2646
FL
101YM0800X
Mental Health Counselor
Primary
MH7283
FL
164X00000X
Licensed Vocational Nurse
PN1247231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11530315
CAQH
FL
01
—
8049
APA-BCPC
FL
Enumeration date
01/18/2007
Last updated
02/10/2010
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