Organization
ADVANCED COUNSELING CARE AND CHANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA COLALUCI (OWNER)
(239) 200-2141
Entity
Organization
Contact information
Practice address
5545 BERRYMAN ST, LEHIGH ACRES, FL 33971-6470
(239) 200-2141
Mailing address
5545 BERRYMAN ST, LEHIGH ACRES, FL 33971-6470
(239) 200-2141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/24/2018
Last updated
11/03/2021
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