BLACK SWAN COUNSELING SERVICES LLC NPI 1841070109

NPI Information

  • NPI: 1841070109
  • Provider Name: BLACK SWAN COUNSELING SERVICES, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 100 S KENTUCKY AVE STE 240
    LAKELAND, FL
    ZIP 33801
  • Phone: (863) 272-9137

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NPI Details

BLACK SWAN COUNSELING SERVICES, LLC is a mental health (including community mental health center) clinic center in Lakeland, FL. BLACK SWAN COUNSELING SERVICES, LLC NPI is 1841070109. The provider is registered as an organization entity type.

The provider's business location address is:

100 S KENTUCKY AVE STE 240
LAKELAND, FL
ZIP 33801-093
Phone: (863) 272-9137

The provider's authorized official is Kevin Berry .
The authorized official title is Managing Partner and has the following contact phone number (863) 667-8570.

The enumeration date for this NPI number is 10/4/2023 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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