Organization
KWHITE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHARINE W. MENDOZA LCSW (MANAGER)
(407) 247-5972
Entity
Organization
Contact information
Practice address
1385 W STATE ROAD 434, LONGWOOD, FL 32750-6871
(407) 247-5972
(407) 960-3686
Mailing address
1385 W STATE ROAD 434, SUITE 207, LONGWOOD, FL 32750-6871
(407) 247-5972
(407) 960-3686
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW6487
FL
Other
Enumeration date
06/21/2012
Last updated
04/20/2015
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