| Davine Counseling Center, Llc | |
|
893 Jacobs Way Cantonment FL 32533-8198 | |
| (251) 222-8729 | |
| Not Available |
| Full Name | Davine Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 893 Jacobs Way, Cantonment, Florida |
| Authorized Official Name and Position | Tonya Hillman (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5734330587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davine Counseling Center, Llc 28851 N Main St Ste B Daphne AL 36526-7273 Ph: (251) 615-1233 | Davine Counseling Center, Llc 893 Jacobs Way Cantonment FL 32533-8198 Ph: (251) 222-8729 |
| NPI Number | 1073186367 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 4284073552 |
|---|---|
| Medicare Enrollment ID | O20240418004203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073186367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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