Provider Demographics
NPI:1902348519
Name:COUNSELING CONNECTION
Entity Type:Organization
Organization Name:COUNSELING CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-496-2747
Mailing Address - Street 1:9922 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4272
Mailing Address - Country:US
Mailing Address - Phone:407-496-2747
Mailing Address - Fax:866-674-1154
Practice Address - Street 1:9922 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4272
Practice Address - Country:US
Practice Address - Phone:407-496-2747
Practice Address - Fax:866-674-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13478101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty