| Spruce Creek Counseling | |
|
6069 Spruce Point Cir Port Orange FL 32128-5508 | |
| (240) 818-9499 | |
| Not Available |
| Full Name | Spruce Creek Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6069 Spruce Point Cir, Port Orange, Florida |
| Authorized Official Name and Position | Shannon Marie King (OWNER/MANAGER) |
| Authorized Official Contact | 2408189499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spruce Creek Counseling 6069 Spruce Point Cir Port Orange FL 32128-5508 Ph: (240) 818-9499 | Spruce Creek Counseling 6069 Spruce Point Cir Port Orange FL 32128-5508 Ph: (240) 818-9499 |
| NPI Number | 1942014055 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942014055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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