| Casa Feliz Counseling Llc | |
|
2425 S Volusia Ave Ste B4 Orange City FL 32763-7625 | |
| (321) 578-7488 | |
| Not Available |
| Full Name | Casa Feliz Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2425 S Volusia Ave Ste B4, Orange City, Florida |
| Authorized Official Name and Position | Graciela Pulliam (CEO/OWNER) |
| Authorized Official Contact | 3215787488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Feliz Counseling Llc 2425 S Volusia Ave Ste B4 Orange City FL 32763-7625 Ph: (321) 578-7488 | Casa Feliz Counseling Llc 2425 S Volusia Ave Ste B4 Orange City FL 32763-7625 Ph: (321) 578-7488 |
| NPI Number | 1912439274 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912439274 | NPI | - | NPPES |
| 014378900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9913 (Florida) | Primary |
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