Provider Demographics
NPI:1104157049
Name:CENTER FOR COUNSELING AND HYPNOSIS, INC.
Entity type:Organization
Organization Name:CENTER FOR COUNSELING AND HYPNOSIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REMENSPERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP
Authorized Official - Phone:321-961-4112
Mailing Address - Street 1:3810 MURRELL RD
Mailing Address - Street 2:SUITE 148
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4756
Mailing Address - Country:US
Mailing Address - Phone:321-961-4112
Mailing Address - Fax:321-507-4091
Practice Address - Street 1:1027 PATHFINDER WAY
Practice Address - Street 2:SUITE 112
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3267
Practice Address - Country:US
Practice Address - Phone:321-961-4112
Practice Address - Fax:321-507-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2014-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7939251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1104157049OtherCENTER FOR COUNSELING AND HYPNOSIS. INC.