Organization
METANOIA INTEGRATIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN L HOECK LMHC (OWNER / THERAPIST)
(908) 528-1301
Entity
Organization
Contact information
Practice address
510 CO RD 466, SUITE 207 OFFICE B, LADY LAKE, FL 32159
(908) 528-1301
Mailing address
1313 MAUGANS AVE, LEESBURG, FL 34748-4030
(908) 528-1301
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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