Provider Demographics
NPI:1902438815
Name:FAMILY WELLNESS COUNSELING LLC
Entity Type:Organization
Organization Name:FAMILY WELLNESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STENBORG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-348-2932
Mailing Address - Street 1:216 TEDDY RUSHING ST
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-5200
Mailing Address - Country:US
Mailing Address - Phone:321-348-2932
Mailing Address - Fax:
Practice Address - Street 1:90 FOX RIDGE CT STE B
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2719
Practice Address - Country:US
Practice Address - Phone:321-348-2932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-08
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty