Organization
ADVANCED COUNSELING SERVICES, PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA GREINER LCSW (PRESIDENT/DIRECTOR)
(352) 364-0067
Entity
Organization
Contact information
Practice address
1188 S BROAD ST, STE. 400, BROOKSVILLE, FL 34601-3110
(352) 364-0067
(352) 364-0116
Mailing address
1188 S BROAD ST, STE. 400, BROOKSVILLE, FL 34601-3110
(352) 364-0067
(352) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW9047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z02HK
BLUE CROSS / BLUE SHIELD
FL
Enumeration date
12/13/2010
Last updated
03/18/2020
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