Organization
THE GROVE COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY A BIRCH LMHC (PRESIDENT)
(407) 327-1765
Entity
Organization
Contact information
Practice address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 327-1765
(407) 339-2129
Mailing address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 327-1765
(407) 339-2129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295965
—
FL
01
—
122945
VALUE OPTIONS #
FL
01
—
208983
HARMONY HEALTH
FL
01
—
216457
AMERIGROUP #
FL
01
—
331964
MHN, INC.
FL
01
—
44248
CIGNA PROVIDER #
FL
01
—
S2A
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/04/2006
Last updated
01/07/2009
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