Seaside Counseling, Llc | |
800 E 11th Ave New Smyrna Beach FL 32169-3304 | |
(386) 690-9585 | |
Not Available |
Full Name | Seaside Counseling, Llc |
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Speciality | Social Worker - Clinical |
Location | 800 E 11th Ave, New Smyrna Beach, Florida |
Authorized Official Name and Position | Tracy S Floyd (OWNER/MANAGER) |
Authorized Official Contact | 3866909585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Seaside Counseling, Llc Po Box 1031 New Smyrna Beach FL 32170-1031 Ph: (386) 690-9585 | Seaside Counseling, Llc 800 E 11th Ave New Smyrna Beach FL 32169-3304 Ph: (386) 690-9585 |
NPI Number | 1639420722 |
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Provider Enumeration Date | 09/28/2012 |
Last Update Date | 10/01/2012 |
Identifier | Type | State | Issuer |
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1639420722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9595 (Florida) | Primary |
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