Provider Demographics
NPI:1366151672
Name:ENDURANCE COUNSELING
Entity type:Organization
Organization Name:ENDURANCE COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:W
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:386-222-2964
Mailing Address - Street 1:115 TIMBERLACHEN CIR STE 1013
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3303
Mailing Address - Country:US
Mailing Address - Phone:386-222-2964
Mailing Address - Fax:321-999-9029
Practice Address - Street 1:115 TIMBERLACHEN CIR STE 1013
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3303
Practice Address - Country:US
Practice Address - Phone:386-222-2964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty