MEDICARE: LAUREN TOBIA COUNSELING & WELLNESS

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1164232930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN TOBIA COUNSELING & WELLNESS

Provider Business Mailing Address
First Line	:	424 DUTTON ISLAND RD W
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-1991
Country	:	US
Telephone Number	:	904-404-9068
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 DUTTON ISLAND RD W
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-1991
Country	:	US
Telephone Number	:	904-404-9068
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	LAUREN TOBIA
Credential	:	LCSW
Telephone Number	:	904-404-9068

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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