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NPI Code Detail

MEDICARE: PRESBYTERIAN COUNSELING CENTER INC

MEDICARE: PRESBYTERIAN COUNSELING CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2101YM0800XMental Health Counselor
3251V00000XVoluntary or Charitable AgencyN13551FL

General Provider Information

NPI Number : 1023277571
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN COUNSELING CENTER INC
Provider Business Mailing Address
First Line : 386 S ATLANTIC AVE # 208
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32176-7143
Country : US
Telephone Number : 386-258-1618
Fax Number : 386-253-4215
Provider Business Practice Location Address
First Line : 121 W PENNSYLVANIA AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3429
Country : US
Telephone Number : 386-258-1618
Fax Number : 386-253-4215
Authorized Official
Title or Position : ADMIN DIRECTOR
Name : LAURA B WALKER
Credential :
Telephone Number : 386-258-1618
Provider Enumeration Date : 06/09/2008
Last Update Date : 04/06/2026

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Directions to “PRESBYTERIAN COUNSELING CENTER INC ” Practice Location

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