Healthcare Provider Details

I. General information

NPI: 1831969021
Provider Name (Legal Business Name): LET'Z TALK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 BEACON DR
DAYTONA BEACH FL
32117-4010
US

IV. Provider business mailing address

1235 PROVIDENCE BLVD STE R
DELTONA FL
32725-7363
US

V. Phone/Fax

Practice location:
  • Phone: 386-270-5472
  • Fax: 386-515-8424
Mailing address:
  • Phone: 386-316-4270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIERA WOODARD
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 386-316-4270