Peace Time Counseling Center Llc | |
1025 W New York Avenue Deland FL 32720 | |
(386) 943-9443 | |
(386) 943-9883 |
Full Name | Peace Time Counseling Center Llc |
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Speciality | Psychologist |
Location | 1025 W New York Avenue, Deland, Florida |
Authorized Official Name and Position | Bonnie Andersen Engel (PSYCHOLOGIST - OWNER) |
Authorized Official Contact | 3869439443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peace Time Counseling Center Llc 1025 W New York Avenue Deland FL 32720 Ph: (386) 943-9443 | Peace Time Counseling Center Llc 1025 W New York Avenue Deland FL 32720 Ph: (386) 943-9443 |
NPI Number | 1649308768 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649308768 | NPI | - | NPPES |
54840 | Other | FL | BCBS OF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY2178 (Florida) | Primary |
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