Centered in Self Counseling and Coaching Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12062 Issued in FL

Legal business name

CENTERED IN SELF COUNSELING AND COACHING SERVICES, LLC

Practice address

6700 S Florida Ave Ste 27
Lakeland, FL 33813-3312

Phone

(863) 660-7915

NPI assigned

Mar 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mayelly Alexandra Casal, LMHC,CAPNPI 1144678830

Title

Owner

Phone

(863) 660-7915

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayelly Alexandra Casal, LMHC

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1144678830
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1780078188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE STE 27",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133312",
            "telephone_number": "863-660-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE STE 27",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133312",
            "telephone_number": "863-660-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED IN SELF COUNSELING AND COACHING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "CASAL",
        "authorized_official_first_name": "MAYELLY",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-660-7915",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC,CAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "12062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.