| Embodied Counseling, Llc | |
|
1406 Kingsley Ave Ste A2 Orange Park FL 32073-4528 | |
| (904) 735-7385 | |
| Not Available |
| Full Name | Embodied Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1406 Kingsley Ave Ste A2, Orange Park, Florida |
| Authorized Official Name and Position | Sabrina Nasta (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9047357385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Counseling, Llc 12452 Blackwater Ct Jacksonville FL 32223-4057 Ph: () - | Embodied Counseling, Llc 1406 Kingsley Ave Ste A2 Orange Park FL 32073-4528 Ph: (904) 735-7385 |
| NPI Number | 1972382331 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 0840637609 |
|---|---|
| Medicare Enrollment ID | O20240328001773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972382331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sabrina Nasta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346885324 PECOS PAC ID: 1759728512 Enrollment ID: I20240404002115 |
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