| Counseling Associates Of Port Orange, Inc. | |
|
3959 S Nova Rd Suite 5 Port Orange FL 32127-9278 | |
| (386) 761-2390 | |
| (386) 761-3256 |
| Full Name | Counseling Associates Of Port Orange, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3959 S Nova Rd, Port Orange, Florida |
| Authorized Official Name and Position | Patti K Hall (SECRETARY/TREASURER) |
| Authorized Official Contact | 3867612390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Port Orange, Inc. 3959 S Nova Rd Suite 5 Port Orange FL 32127-9278 Ph: (386) 761-2390 | Counseling Associates Of Port Orange, Inc. 3959 S Nova Rd Suite 5 Port Orange FL 32127-9278 Ph: (386) 761-2390 |
| NPI Number | 1003099516 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 12/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003099516 | NPI | - | NPPES |
| X1496 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW3855 (Florida) | Primary |
| 251S00000X | Community/behavioral Health | SW3855 (Florida) | Secondary |
Center For Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave, Suite 3, Port Orange, FL 32127 Phone: 138-695-7390 | |
Self Quest Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd Ste B-15, Port Orange, FL 32127 Phone: 386-566-6632 Fax: 855-471-0759 | |
Dr Anthony S Capozzi Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1730 Dunlawton Ave Ste 3, Port Orange, FL 32127 Phone: 386-957-3905 | |
Bloom Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Karl Dr, Port Orange, FL 32128 Phone: 904-788-9474 Fax: 760-205-4866 | |
Sue Levy Psyd Lcsw Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8439 | |
Grimes Neurology And Concussion Center, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Dunlawton Ave Ste 103, Port Orange, FL 32127 Phone: 386-679-3270 |