Upper Room Counseling Center, Inc.
NPI #1134439235 in Fruitland Park, Florida
Provider Information
- NPI Number
- 1134439235
- Entity Type
- Organization
- Organization Name
- Upper Room Counseling Center, Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 7, 2010
- Last Updated
- Jul 31, 2012
Practice Location
- Address
- 3420 HWY 27/441
- City
- Fruitland Park
- State
- Florida
- ZIP Code
- 34731-4474
- Phone
- (352) 435-4631
Authorized Official
- Name
- MR. JERRY FRANKLIN PHILLIPS, L.M.H.C.
- Title
- DIRECTOR OF COUNSELING
- Phone
- (352) 435-4631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Pastoral — Pastoral |
| Counselor - Professional — Professional |
| Psychoanalyst |
| Marriage & Family Therapist |
| Counselor - Mental Health — Mental Health |
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