| Easterseals Northeast Central Florida, Inc. | |
|
3804 Pioneer Trl New Smyrna Beach FL 32168-8784 | |
| (386) 944-7805 | |
| (386) 258-7677 |
| Full Name | Easterseals Northeast Central Florida, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3804 Pioneer Trl, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Michele Wallens (ACCOUNTING MANAGER) |
| Authorized Official Contact | 3864497805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easterseals Northeast Central Florida, Inc. 1219 Dunn Ave Daytona Beach FL 32114-2405 Ph: (386) 944-7805 | Easterseals Northeast Central Florida, Inc. 3804 Pioneer Trl New Smyrna Beach FL 32168-8784 Ph: (386) 944-7805 |
| NPI Number | 1184300436 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184300436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Robert J Kennerley Phd Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-423-9161 Fax: 386-423-3094 | |
Trevon Clow Counseling Therapies, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N Causeway, Suite B, New Smyrna Beach, FL 32169 Phone: 386-428-4564 Fax: 386-428-4539 | |
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Ladele Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1982 State Road 44, Suite 162, New Smyrna Beach, FL 32168 Phone: 386-320-3233 | |
Ndc Of Volusia Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168 Phone: 386-423-0505 Fax: 386-423-0515 | |
Kim Carter Winokur, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Julia St Unit 100, New Smyrna Beach, FL 32168 Phone: 389-689-8776 | |
Jessica Magers, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Julie St., New Smyrna Beach, FL 32168 Phone: 386-423-9161 |