First Step Counseling Center | |
264 Paseo Reyes Drive St Augustine FL 32095 | |
(904) 610-6276 | |
(904) 512-0474 |
Full Name | First Step Counseling Center |
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Speciality | Counselor - Mental Health |
Location | 264 Paseo Reyes Drive, St Augustine, Florida |
Authorized Official Name and Position | Susan Patricia Capitano (OWNER) |
Authorized Official Contact | 9046106276 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Step Counseling Center 264 Paseo Reyes Drive St Augustine FL 32095 Ph: (904) 610-6276 | First Step Counseling Center 264 Paseo Reyes Drive St Augustine FL 32095 Ph: (904) 610-6276 |
NPI Number | 1457739609 |
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Provider Enumeration Date | 05/08/2015 |
Last Update Date | 09/23/2022 |
Certification Date | 09/23/2022 |
Identifier | Type | State | Issuer |
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1457739609 | NPI | - | NPPES |
11028700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH5716 (Florida) | Primary |
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