Healthcare Provider Details

I. General information

NPI: 1184446288
Provider Name (Legal Business Name): CENTERED IN COMPASSION COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 MOODY BLVD
FLAGLER BEACH FL
32136-3372
US

IV. Provider business mailing address

PO BOX 351056
PALM COAST FL
32135-1056
US

V. Phone/Fax

Practice location:
  • Phone: 386-847-0920
  • Fax:
Mailing address:
  • Phone: 386-847-0920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATIE OSTRANDER
Title or Position: OWNER
Credential: LMHC
Phone: 386-847-0920