Organization
ADAPTABILITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA P. JACK M.S. (MENTAL HEALTH COUNSELOR)
(407) 325-0729
Entity
Organization
Contact information
Practice address
1850 LEE RD, SUITE 220, WINTER PARK, FL 32789-2115
(407) 325-0729
(321) 316-4863
Mailing address
1850 LEE RD SUITE 220, LEE WORLD CENTER, WINTER PARK, FL 32789-2115
(407) 325-0729
(321) 316-4863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076729800
—
FL
Enumeration date
08/16/2016
Last updated
08/16/2016
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