Family Guidance and Counseling Center of Central Florida LLC

NPI #1669639530 in Lake Mary, Florida

Provider Information

NPI Number: 1669639530
Entity Type: Organization
Organization Name: Family Guidance and Counseling Center of Central Florida LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 19, 2008
Last Updated: Oct 20, 2010

Practice Location

Address: 3256 W LAKE MARY BLVD
Address 2: SUITE 1100
City: Lake Mary
State: Florida
ZIP Code: 32746
Phone: (407) 416-5611

Authorized Official

Name: MR. CARL CHRISTIAN HERTENSTEIN, LCSW
Title: SOLE MBR
Phone: (386) 490-5745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - Professional — Professional	101YP2500X
Psychoanalyst	102L00000X
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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