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Organization

AG COUNSELING & CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMELIA D GILLIS LMHC (CEO)
(321) 299-8055
Entity
Organization

Contact information

Practice address
464 JORDAN STUART CIR APT 118, APOPKA, FL 32703-2408
(321) 299-8055
Mailing address
522 S HUNT CLUB BLVD # 256, APOPKA, FL 32703-4960
(321) 299-8055

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003275272
NPI
Enumeration date
03/21/2021
Last updated
03/21/2021
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