Organization
BROADEN COUNSELING & CONSULTING, LLC
Active
Organization
BROADEN COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE LOPEZ LMHC (CEO/LICENSED MENTAL HEALTH COUNSELO)
(407) 433-5149
Entity
Organization
Contact information
Practice address
4606 CALUMET DR, SAINT CLOUD, FL 34772-8988
(407) 433-5149
Mailing address
4606 CALUMET DR, SAINT CLOUD, FL 34772-8988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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