| Haydon-davis Counseling, Inc. | |
|
305 Kingsley Lake Dr Suite 702 St Augustine FL 32092-3043 | |
| (904) 716-5619 | |
| (248) 751-5913 |
| Full Name | Haydon-davis Counseling, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 305 Kingsley Lake Dr, St Augustine, Florida |
| Authorized Official Name and Position | Gwendolen H Davis (PRESIDENT) |
| Authorized Official Contact | 9047165619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haydon-davis Counseling, Inc. Po Box 600003 Jacksonville FL 32260-0003 Ph: (904) 716-5619 | Haydon-davis Counseling, Inc. 305 Kingsley Lake Dr Suite 702 St Augustine FL 32092-3043 Ph: (904) 716-5619 |
| NPI Number | 1679012439 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679012439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7677 (Florida) | Primary |
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