Organization
FAMILY GUIDANCE AND COUNSELING CENTER OF CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL CHRISTIAN HERTENSTEIN LCSW (SOLE MBR)
(386) 490-5745
Entity
Organization
Contact information
Practice address
3256 W LAKE MARY BLVD, SUITE 1100, LAKE MARY, FL 32746
(407) 416-5611
(386) 788-3600
Mailing address
107 BRANDIWOOD CT, DEBARY, FL 32713-2242
(386) 490-5745
(386) 788-3600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW2941
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW2941
FL
101YM0800X
Mental Health Counselor
SW2941
FL
101YP1600X
Pastoral Counselor
SW2941
FL
101YP2500X
Professional Counselor
SW2941
FL
102L00000X
Psychoanalyst
SW2941
FL
1041C0700X
Clinical Social Worker
Primary
SW2941
FL
106H00000X
Marriage & Family Therapist
SW2941
FL
Other
Enumeration date
05/19/2008
Last updated
10/20/2010
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