| Overcome Counseling, Coaching, & Conflict Resolution, Llc | |
|
530 Devon Cir St Augustine FL 32086-8704 | |
| (817) 691-4039 | |
| Not Available |
| Full Name | Overcome Counseling, Coaching, & Conflict Resolution, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 530 Devon Cir, St Augustine, Florida |
| Authorized Official Name and Position | Amanda Michele Houghton (CEO) |
| Authorized Official Contact | 8176914039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overcome Counseling, Coaching, & Conflict Resolution, Llc 530 Devon Cir St Augustine FL 32086-8704 Ph: (817) 691-4039 | Overcome Counseling, Coaching, & Conflict Resolution, Llc 530 Devon Cir St Augustine FL 32086-8704 Ph: (817) 691-4039 |
| NPI Number | 1881392124 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Medicare PECOS PAC ID | 0840637070 |
|---|---|
| Medicare Enrollment ID | O20240325000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881392124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amanda Michele Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417290321 PECOS PAC ID: 4688083322 Enrollment ID: I20210510000085 |
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