| Replenish Counseling, Llc | |
|
206 N Beach St Ste 200 Daytona Beach FL 32114-3307 | |
| (407) 603-1677 | |
| Not Available |
| Full Name | Replenish Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 206 N Beach St Ste 200, Daytona Beach, Florida |
| Authorized Official Name and Position | Francesca Cook (OWNER) |
| Authorized Official Contact | 4076031677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Replenish Counseling, Llc 206 N Beach St Ste 200 Daytona Beach FL 32114-3307 Ph: (407) 603-1677 | Replenish Counseling, Llc 206 N Beach St Ste 200 Daytona Beach FL 32114-3307 Ph: (407) 603-1677 |
| NPI Number | 1235996661 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/02/2024 |
| Medicare PECOS PAC ID | 7113364506 |
|---|---|
| Medicare Enrollment ID | O20240320004261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235996661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Francesca Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215680608 PECOS PAC ID: 5395182786 Enrollment ID: I20240321001932 |
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