| Counseling & Disability Services, Llc | |
|
1635 S Ridgewood Ave Ste 225 South Daytona FL 32119-8478 | |
| (386) 788-5021 | |
| (386) 788-5021 |
| Full Name | Counseling & Disability Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1635 S Ridgewood Ave Ste 225, South Daytona, Florida |
| Authorized Official Name and Position | Phyllis Lavigna (OWNER/LCSW) |
| Authorized Official Contact | 3867885021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Disability Services, Llc 1635 S Ridgewood Ave Ste 225 South Daytona FL 32119-8478 Ph: (386) 788-5021 | Counseling & Disability Services, Llc 1635 S Ridgewood Ave Ste 225 South Daytona FL 32119-8478 Ph: (386) 788-5021 |
| NPI Number | 1518205152 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 2769618040 |
|---|---|
| Medicare Enrollment ID | O20131114000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518205152 | NPI | - | NPPES |
| 013190700 | Medicaid | FL | |
| 013191700 | Medicaid | FL |
| Provider Name | Phyllis A Lavigna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740547686 PECOS PAC ID: 3375770977 Enrollment ID: I20131205000650 |
| Provider Name | Elizabeth Ann Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427476068 PECOS PAC ID: 8123307782 Enrollment ID: I20161122002076 |
| Provider Name | Timothy J Remmert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316335359 PECOS PAC ID: 3072888049 Enrollment ID: I20171002003089 |
| Provider Name | Patricia A Duff-fleming |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194336586 PECOS PAC ID: 9638613375 Enrollment ID: I20240704000722 |
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