Professional Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH11233 Issued in FL

Legal business name

PROFESSIONAL COUNSELING LLC

Practice address

2200 E Irlo Bronson Memorial Hwy
102
Kissimmee, FL 34744-4424

Phone

(321) 442-6665

NPI assigned

Dec 9, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Carmen Olivares, LMHC

Title

Mental Health Counselor

Phone

(321) 442-6665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1831434489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E IRLO BRONSON MEMORIAL HWY",
            "address_2": "102",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444424",
            "telephone_number": "321-442-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E IRLO BRONSON MEMORIAL HWY",
            "address_2": "102",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444424",
            "telephone_number": "321-442-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-09",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "321-442-6665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.