Counseling Associates Of Port Orange, Inc.

LBN: Counseling Associates Of Port Orange, Inc.
Counseling Associates Of Port Orange, Inc. is an health care organization with primary practice located at 3959 S Nova Rd Suite 5, Port Orange FL 32127-9278. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Counseling Associates Of Port Orange, Inc. can be contacted via phone (386) 761-2390, or through Hall, Patti K via phone (386) 761-2390.

Contact Information

Primary practice address
3959 S Nova Rd Suite 5 Port Orange FL 32127-9278
Fax: (386) 761-3256
Website:
Authorized official contact:
Name: Hall, Patti K PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW3855 Florida
Agencies / Community/Behavioral Health 251S00000X SW3855 Florida

Profile Details

NPI number 1003099516
LBN Legal business name Counseling Associates Of Port Orange, Inc.
DBA Doing business as
Authorized official Hall, Patti K PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003099516 NPPES
Florida Other X1496 BLUE CROSS BLUE SHIELD

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