| Suds Counseling, Llc | |
|
4519 Woodbine Rd Milton FL 32571-8706 | |
| (850) 778-3747 | |
| (850) 807-5147 |
| Full Name | Suds Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4519 Woodbine Rd, Milton, Florida |
| Authorized Official Name and Position | Jennifer Vaughn (THERAPIST/ OWNER) |
| Authorized Official Contact | 8507783747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suds Counseling, Llc 4519 Woodbine Rd Milton FL 32571-8706 Ph: (850) 778-3747 | Suds Counseling, Llc 4519 Woodbine Rd Milton FL 32571-8706 Ph: (850) 778-3747 |
| NPI Number | 1669171955 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669171955 | NPI | - | NPPES |
| 110551400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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