Most Relevant Information
Provider Data
NPI Number: | 1003543273 |
Provider Name: | CAROLINE PACE LMHC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | MH21010 |
Most Important Dates
Enumeration Date: | 08/06/2022 |
Last Updated: | 08/06/2022 |
Provider Practice Location
111 ORANGE AVE # M-205
FORT PIERCE
FL
349504304
Practice Location Phone/Fax
Phone: | 7722071095 |
Fax: |
Provider Mailing Location
5637 NW COVENTRY CIR
PORT SAINT LUCIE
FL
349864056
Provider Mailing Phone/Fax
Phone: | 5612013302 |
Fax: |