Organization
ANDREA TANG COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA TANG LMHC, NCC (OWNER)
(772) 999-1438
Entity
Organization
Contact information
Practice address
433 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 999-1438
(772) 800-1056
Mailing address
433 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 999-1438
(772) 800-1056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13888
FL
Other
Enumeration date
02/25/2016
Last updated
11/17/2016
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