Provider Demographics
NPI:1730545104
Name:MENSCHNER COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:MENSCHNER COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIS
Authorized Official - Middle Name:MENSCHNER
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-529-5359
Mailing Address - Street 1:540 E HORATIO AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7314
Mailing Address - Country:US
Mailing Address - Phone:407-529-5359
Mailing Address - Fax:407-641-9567
Practice Address - Street 1:540 E HORATIO AVE STE 200
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7314
Practice Address - Country:US
Practice Address - Phone:407-529-5359
Practice Address - Fax:407-641-9567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW70021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty