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Pine Grove Counseling Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Cape Coral, Florida
NPI 1255931101

Pine Grove Counseling Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Cape Coral, FL and is specialized in Mental Health (Including Community Mental Health Center). Pine Grove Counseling Llc practices in Cape Coral, FL. The NPI Number for Pine Grove Counseling Llc is 1255931101 and holds a License No. (Florida).

The current practice location address for Pine Grove Counseling Llc is 539 Se Van Loon Ter, Cape Coral, FL and can be reached out via phone at 941-763-0724 and via fax at 239-567-9671.

Location: 539 Se Van Loon Ter, Cape Coral, FL, 33990-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255931101
Provider Name
Pine Grove Counseling Llc
Credential
Provider Entity Type
Organization
Address
539 Se Van Loon Ter, Cape Coral, FL, 33990-1157
Phone Number
941-763-0724
Fax Number
239-567-9671
Provider Enumeration Date
10/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992144810 05 FL
institution
Provider Business Practice Location Address Details
Address
539 Se Van Loon Ter
City
Cape Coral
State
Florida
Zip
33990-1157
Phone Number
941-763-0724
Fax Number
239-567-9671
person
Provider Business Mailing Address Details
Address
539 Se Van Loon Ter
City
Cape Coral
State
Florida
Zip
33990-1157
Phone Number
941-763-0724
Fax Number
239-567-9671
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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