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Preferred Location (Clermont, Tavares (changing to Eustis address on 10/1), Telehealth)

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Tavares Office

820 S Duncan Dr, Tavares, FL 32778

3529786687 admin@lifeandhopecounseling.com

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Name (First, Last)*

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Phone *

Do you plan to use insurance benefits? (Yes or No)*

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Preferred Location (Clermont, Tavares, Telehealth)

Insurance Member ID Number

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IMPORTANT NOTICE- TAVRES OFFICE WILL CHANGE TO NEW LOCATION 10/1/2024

Our Tavares office location will be closed as of October 1st, 2024 and we will be moving to a new practice address.

The new location address is:

15930 US Highway 441 Suite D

Eustis, FL 32726

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Clermont Office

365 Citrus Tower Boulevard Suite 108, Clermont, Florida 34711

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Name (First, Last)*

Email*

Phone *

Do you plan to use insurance benefits? (Yes or No)*

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Preferred Location (Clermont, Tavares, Telehealth)

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Life and Hope Counseling

Phone: 352-978-6687 Fax: 352-240-1066 Email: admin@lifeandhopecounseling.com

Hours

9AM-3PM Phone Availability

Clinician schedules may differ depending on the clinician

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