Eagle's Wings Counseling Center, Inc.

NPI #1174857486 in Venice, Florida

Provider Information

NPI Number: 1174857486
Entity Type: Organization
Organization Name: Eagle's Wings Counseling Center, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 21, 2009
Last Updated: Apr 1, 2013

Practice Location

Address: 405 COMMERCIAL CT STE E
City: Venice
State: Florida
ZIP Code: 34292-1653
Phone: (941) 375-4321

Authorized Official

Name: DAVE UPTON, M.A.
Title: EXECUTIVE DIRECTOR
Phone: (941) 375-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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