Core Counseling Service Inc in Port Orange - Clinical
Core Counseling Service Inc - NPI 1285791764
Core Counseling Service Inc is a Clinical in Port Orange, Florida. Core Counseling Service Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Core Counseling Service Inc is 1285791764. The last update date is 2008-02-19.
Core Counseling Service Inc's current location address is 4319 So Ridgewood Ave, Port Orange, Florida. You can contact this provider via phone number 3867562405 and fax number 3867567518. The mailing address for Core Counseling Service Inc is 4319 So Ridgewood Ave, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Core Counseling Service Inc |
|---|---|
| Address | 4319 So Ridgewood Ave, Port Orange, Florida |
| Phone Number | 3867562405 |
| Fax Number | 3867567518 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOTHER |
|---|---|
| Authorized Official Name | Yonta A Emilio |
| Credentials | LCSW |
| Telephone Number | 3867562405 |
NPI Number Detail
| NPI Number | 1285791764 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 4319 So Ridgewood Ave |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 32127 |
| Phone Number | 3867562405 |
| Fax Number | 3867567518 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 720 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Core Counseling Service Inc?
The Core Counseling Service Inc has been issued the NPI (National Provider Identifier) 1285791764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Core Counseling Service Inc is located?
The Core Counseling Service Inc is situated at the following address: 4319 So Ridgewood Ave, Port Orange, FL, 32127.
What is the Core Counseling Service Inc's specialty and taxonomy code?
The Core Counseling Service Inc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Core Counseling Service Inc's 1285791764 issued?
The Core Counseling Service Inc's 1285791764 was issued on 2007-01-03.
As of what date were the Core Counseling Service Inc's details last updated?
The information pertaining to the Core Counseling Service Inc, including its address, specialty, and other details, was most recently updated on 2008-02-19.
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