Hallandale Counseling Inc | |
595 W. Granada Blvd Suite H Ormond Beach FL 32174 | |
(386) 677-3995 | |
(386) 677-7797 |
Full Name | Hallandale Counseling Inc |
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Speciality | Psychologist |
Location | 595 W. Granada Blvd, Ormond Beach, Florida |
Authorized Official Name and Position | Argene K Danielioes (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3866773995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hallandale Counseling Inc 595 W. Granada Blvd Suite H Ormond Beach FL 32174 Ph: (386) 677-3995 | Hallandale Counseling Inc 595 W. Granada Blvd Suite H Ormond Beach FL 32174 Ph: (386) 677-3995 |
NPI Number | 1376877183 |
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Provider Enumeration Date | 09/25/2009 |
Last Update Date | 09/25/2009 |
Medicare PECOS PAC ID | 2062551187 |
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Medicare Enrollment ID | O20091203000252 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376877183 | NPI | - | NPPES |
205861700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY3869 (Florida) | Primary |
Provider Name | Argene K Danielides |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457433468 PECOS PAC ID: 3072652189 Enrollment ID: I20091203000216 |
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