| Today Counseling Llc | |
|
17 Juniper Dr Ormond Beach FL 32176-2405 | |
| (860) 817-3175 | |
| Not Available |
| Full Name | Today Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Juniper Dr, Ormond Beach, Florida |
| Authorized Official Name and Position | Kian Fay Jacobs (OWNER) |
| Authorized Official Contact | 8608173175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Today Counseling Llc 17 Juniper Dr Ormond Beach FL 32176-2405 Ph: () - | Today Counseling Llc 17 Juniper Dr Ormond Beach FL 32176-2405 Ph: (860) 817-3175 |
| NPI Number | 1487266888 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Medicare PECOS PAC ID | 4587082102 |
|---|---|
| Medicare Enrollment ID | O20200915000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487266888 | NPI | - | NPPES |
| 412-82-2468 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kian Fay Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992923635 PECOS PAC ID: 0547359945 Enrollment ID: I20160627001349 |
| Provider Name | Angela Marie Mastropiero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922639731 PECOS PAC ID: 8729485685 Enrollment ID: I20210921001288 |
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