MR. PHILLIP EDWARD VAN KLEECK MA
NPI 1093990061
Counselor - Mental Health in Avon Park, FL

Active since January 08, 2008
2523 US HIGHWAY 27 S, SUITE 130, AVON PARK, FL 33825(863) 991-5209 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Phillip Edward Van Kleeck Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHILLIP EDWARD VAN KLEECK MA (NPI 1093990061) is an individual mental health provider in Avon Park, Florida, licensed in Florida (MH 9545) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1093990061
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. PHILLIP EDWARD VAN KLEECKCredential: MA
Location Address2523 US HIGHWAY 27 S, SUITE 130Avon Park, FL 33825-9690
Mailing Address2523 Us Highway 27 S, Suite 130Avon Park, FL 33825-9690 · (863) 991-5209
Sole ProprietorNo
Enumeration DateJanuary 8, 2008
Last NPPES UpdateAugust 18, 2008
NPI 1093990061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH 9545
2523 US HIGHWAY 27 S, Avon Park, FL 33825

Other Identifiers 1

Medicaid1093990016FL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2523 US HIGHWAY 27 S, STE 130
AVON PARK, FL 33825
Counselor
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Counselor (Mental Health)
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Counselor (Mental Health)
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Clinic/Center (Mental Health (Including Community Mental Health Center))
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Van Kleeck's NPI number?

The NPI number for Phillip Van Kleeck is 1093990061. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Phillip Van Kleeck located?

Phillip Van Kleeck practices at 2523 Us Highway 27 S Suite 130, Avon Park, FL 33825. The listed phone number is (863) 991-5209.

What is Phillip Van Kleeck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Phillip Van Kleeck was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.