Christian Counseling Center
Organization Active NPI Community/Behavioral Health Agency · Dover, FL
NPI 1033588447 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1033588447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- CPY0011301094 FACCT (FL)
- Legal business name
- CHRISTIAN COUNSELING CENTER
- Practice address
- 13309 Walden Sheffield Rd
Dover, FL 33527-5547 - Phone
- (813) 763-5978
- NPI assigned
- Sep 16, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Waylon Arnold Carlisle, PH.D. PSYCHOLOGIST
- Title
- Owner
- Phone
- (813) 763-5978
Practitioners 1
-
Waylon A Carlisle, PH.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CPY0011301094 FACCT | FL | Yes |
Addresses
Primary practice location
13309 Walden Sheffield Rd
Dover, FL 33527-5547
Mailing address
13309 Walden Sheffield Rd
Dover, FL 33527-5547
Phone (813) 763-5978
Other providers in Dover, FL
- Yessica Bueno
- Robin Tiffany Burns-Thigpen
- Donald Cawood
- Megan A Chapman
- Shelly Chapman
- Brett Coleman
- Linda Conde
- Sarah Jane Connatser
- Jasmine Elizabeth Corbin
- Ana Mary Garcia Cruz
All providers in Dover, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.