| Advance Bariatric Counseling | |
|
239 Florida Willow Ave Debary FL 32713-4865 | |
| (407) 564-3459 | |
| (321) 296-6847 |
| Full Name | Advance Bariatric Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 239 Florida Willow Ave, Debary, Florida |
| Authorized Official Name and Position | Ashlyn Douglass-barnes (LCSW/OWNER) |
| Authorized Official Contact | 4075643459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Bariatric Counseling 239 Florida Willow Ave Debary FL 32713-4865 Ph: (850) 545-0648 | Advance Bariatric Counseling 239 Florida Willow Ave Debary FL 32713-4865 Ph: (407) 564-3459 |
| NPI Number | 1710539192 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 9739417254 |
|---|---|
| Medicare Enrollment ID | O20190822000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710539192 | NPI | - | NPPES |
| 019204300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashlyn Elise Douglass-barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134544851 PECOS PAC ID: 5294967717 Enrollment ID: I20140416001606 |
| Provider Name | Jessica R Mauger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306447206 PECOS PAC ID: 4981082948 Enrollment ID: I20220602001936 |
| Provider Name | Iliana Bianca Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457752354 PECOS PAC ID: 6800247453 Enrollment ID: I20240108003965 |
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