MEDICARE: CEDAR AND STREAM COUNSELING LLC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1760310023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR AND STREAM COUNSELING LLC

Provider Business Mailing Address
First Line	:	2220 COUNTY ROAD 210 W STE 108-313
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32259-4058
Country	:	US
Telephone Number	:	904-446-8428
Fax Number	:	844-770-0422

Provider Business Practice Location Address
First Line	:	2220 COUNTY ROAD 210 W STE 108-313
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32259-4058
Country	:	US
Telephone Number	:	904-446-8428
Fax Number	:	844-770-0422

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	MRS. TONYA MARIE WOODS
Credential	:	MS
Telephone Number	:	904-446-8428

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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