Provider Demographics
NPI:1285899419
Name:ADJUSTMENT AND AWARENESS COUNSELING
Entity type:Organization
Organization Name:ADJUSTMENT AND AWARENESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:SANDMAN8632913155
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:863-291-3155
Mailing Address - Street 1:243 3RD ST NW
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-291-3155
Mailing Address - Fax:863-291-3274
Practice Address - Street 1:243 3RD ST NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881
Practice Address - Country:US
Practice Address - Phone:863-291-3155
Practice Address - Fax:863-291-3274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0002829251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health