Healthcare Provider Details

I. General information

NPI: 1457267924
Provider Name (Legal Business Name): BECKY SINGER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5111 S RIDGEWOOD AVE STE 300
PORT ORANGE FL
32127-5170
US

IV. Provider business mailing address

271 MIDDLE WAY
NEW SMYRNA FL
32169-5305
US

V. Phone/Fax

Practice location:
  • Phone: 407-647-2423
  • Fax: 407-647-3033
Mailing address:
  • Phone: 407-923-9363
  • Fax: 407-647-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. BECKY H SINGER
Title or Position: PSYCHOTHERAPIST
Credential:
Phone: 407-647-2423