Provider Demographics
NPI:1902619307
Name:CLEMONS COUNSELING AND CONSULTING SERVICES
Entity type:Organization
Organization Name:CLEMONS COUNSELING AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:561-565-0072
Mailing Address - Street 1:PO BOX 1547
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-1547
Mailing Address - Country:US
Mailing Address - Phone:561-565-0072
Mailing Address - Fax:561-855-4504
Practice Address - Street 1:824 W CANAL ST S
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-2942
Practice Address - Country:US
Practice Address - Phone:561-565-0072
Practice Address - Fax:561-855-4504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty