Provider Demographics
NPI:1538308606
Name:IN SPIRIT AND IN TRUTH COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:IN SPIRIT AND IN TRUTH COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LILY
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:CORSELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, LMHC
Authorized Official - Phone:954-822-8874
Mailing Address - Street 1:27332 DOMINICA LN
Mailing Address - Street 2:
Mailing Address - City:RAMROD KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-5453
Mailing Address - Country:US
Mailing Address - Phone:954-822-8874
Mailing Address - Fax:305-741-7971
Practice Address - Street 1:100 COUNTY RD
Practice Address - Street 2:
Practice Address - City:BIG PINE KEY
Practice Address - State:FL
Practice Address - Zip Code:33043-4823
Practice Address - Country:US
Practice Address - Phone:954-822-8874
Practice Address - Fax:305-741-7971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty