| Clay Community Counseling, Llc | |
|
2497 County Road 220 Middleburg FL 32068-6531 | |
| (904) 801-5800 | |
| Not Available |
| Full Name | Clay Community Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2497 County Road 220, Middleburg, Florida |
| Authorized Official Name and Position | Michelle Nicole Fiallo (OWNER/COUNSELOR) |
| Authorized Official Contact | 9048015800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Community Counseling, Llc 1763 Covington Ln Fleming Island FL 32003-3387 Ph: (703) 731-6352 | Clay Community Counseling, Llc 2497 County Road 220 Middleburg FL 32068-6531 Ph: (904) 801-5800 |
| NPI Number | 1285254599 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285254599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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