Provider Demographics
NPI:1124341821
Name:COUNSELING, MEDIATION, AND EDUCATIONAL CENTER, INC.
Entity type:Organization
Organization Name:COUNSELING, MEDIATION, AND EDUCATIONAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW, MSW
Authorized Official - Phone:407-619-6620
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32772-0052
Mailing Address - Country:US
Mailing Address - Phone:407-619-6620
Mailing Address - Fax:
Practice Address - Street 1:208 MCVAY DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-5860
Practice Address - Country:US
Practice Address - Phone:407-619-6620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health