| Laurel Oaks Counseling Llc | |
|
444 Seabreeze Blvd Suite 730 Daytona Beach FL 32118-3958 | |
| (386) 255-0044 | |
| (385) 255-0045 |
| Full Name | Laurel Oaks Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 444 Seabreeze Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Amanda Nixon (OWNER) |
| Authorized Official Contact | 3862550044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Oaks Counseling Llc 226 N Nova Rd # 148 Ormond Beach FL 32174-5124 Ph: (386) 255-0044 | Laurel Oaks Counseling Llc 444 Seabreeze Blvd Suite 730 Daytona Beach FL 32118-3958 Ph: (386) 255-0044 |
| NPI Number | 1649718974 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649718974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6317 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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