| Ponte Vedra Counseling Llc | |
|
308 Vista Lake Cir Ponte Vedra Beach FL 32081-0080 | |
| (904) 834-9024 | |
| Not Available |
| Full Name | Ponte Vedra Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 308 Vista Lake Cir, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Ashley Ireland (OWNER/COUNSELOR) |
| Authorized Official Contact | 9048349024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponte Vedra Counseling Llc 130 Corridor Rd Unit 266 Ponte Vedra Beach FL 32004-7711 Ph: (904) 834-9024 | Ponte Vedra Counseling Llc 308 Vista Lake Cir Ponte Vedra Beach FL 32081-0080 Ph: (904) 834-9024 |
| NPI Number | 1811707623 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811707623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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