| Damron Counseling, Llc | |
|
1350a N Gadsden St Tallahassee FL 32303-5614 | |
| (850) 290-2211 | |
| Not Available |
| Full Name | Damron Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1350a N Gadsden St, Tallahassee, Florida |
| Authorized Official Name and Position | Kristi Kay Damron (OWNER) |
| Authorized Official Contact | 8502902211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Damron Counseling, Llc 1350a N Gadsden St Tallahassee FL 32303-5614 Ph: (850) 290-2211 | Damron Counseling, Llc 1350a N Gadsden St Tallahassee FL 32303-5614 Ph: (850) 290-2211 |
| NPI Number | 1285392522 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 9133519101 |
|---|---|
| Medicare Enrollment ID | O20211206002182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285392522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristi K Damron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629615539 PECOS PAC ID: 8022408004 Enrollment ID: I20211206002527 |
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