Provider Demographics
NPI:1144666587
Name:VANN COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:VANN COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANN THORNTON
Authorized Official - Last Name:VANN
Authorized Official - Suffix:
Authorized Official - Credentials:MED/EDS
Authorized Official - Phone:352-316-0518
Mailing Address - Street 1:802 NW 16TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-4012
Mailing Address - Country:US
Mailing Address - Phone:352-316-0518
Mailing Address - Fax:352-505-5045
Practice Address - Street 1:802 NW 16TH AVE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4012
Practice Address - Country:US
Practice Address - Phone:352-316-0518
Practice Address - Fax:352-505-5045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2668106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty