Provider Demographics
NPI:1194104232
Name:ALL AMERICAN CHRISTIAN COUNSELING CENTER,LLC
Entity type:Organization
Organization Name:ALL AMERICAN CHRISTIAN COUNSELING CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:DOROTHY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-924-5800
Mailing Address - Street 1:201 BARRY CT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5833
Mailing Address - Country:US
Mailing Address - Phone:407-682-5900
Mailing Address - Fax:
Practice Address - Street 1:201 BARRY CT
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-5833
Practice Address - Country:US
Practice Address - Phone:407-682-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW7660251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health